This log is also available as text (225ac.txt) and as a (binary) annotation file (225ac.log).
Generated: Thursday, 23-Apr-2009 00:35:51 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 05/10/2015] el: 0 cg: LCP cu: LCP at MIT n1: 10
id: BSA t0: [11:32:00 05/10/2015] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [11:32:00 05/10/2015] el: 1032 cg: -1 cu: CSRU id: Allergy 1 t0: [11:32:00 05/10/2015] el: 1020 cg: -1 cu: CSRU v1: Amoxicillin id: Diagnosis/op t0: [11:32:00 05/10/2015] el: 1023 cg: -1 cu: CSRU id: Service t0: [11:32:00 05/10/2015] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [11:32:00 05/10/2015] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [11:32:00 05/10/2015] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [11:32:00 05/10/2015] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [11:32:00 05/10/2015] el: 1000 cg: -1 cu: CSRU v1: OTR id: Allergy 2 t0: [11:32:00 05/10/2015] el: 1021 cg: -1 cu: CSRU v1: Tegretol (Oral) (Carbamazepine) id: Ext t0: [11:32:00 05/10/2015] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [11:32:00 05/10/2015] el: 1022 cg: -1 cu: CSRU
pi: 4093587 hi: 29031 t0: [15:00:00 05/10/2015] tf: [23:00:00 05/11/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4093588 hi: 29031 t0: [15:00:00 05/10/2015] tf: [14:00:00 05/10/2015] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label pi: 4093589 hi: 29031 t0: [15:00:00 05/10/2015] tf: [09:00:00 22/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4093590 hi: 29031 t0: [15:00:00 05/10/2015] tf: [09:00:00 22/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 75 n1: 75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 689 n1: 689 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Riker-SAS Scale t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [14:00:00 05/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Previous Weight t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Pupil Response R/L t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Rate t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Temp. Site t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Weight Change t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Braden Activity t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [14:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Less Restrict Meas. t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Height of Bed t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: LL Strength/Movement t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Position Change t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RL Strength/Movement t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Sputum Color/Consist t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
pi: 4093782 hi: 29031 t0: [20:00:00 05/10/2015] tf: [10:00:00 11/10/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours pi: 4093783 hi: 29031 t0: [16:00:00 05/10/2015] tf: [10:00:00 11/10/2015] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 17 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4093825 hi: 29031 t0: [16:00:00 05/10/2015] tf: [09:00:00 12/10/2015] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4093836 hi: 29031 t0: [20:00:00 05/10/2015] tf: [21:00:00 16/10/2015] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4093837 hi: 29031 t0: [16:00:00 05/10/2015] tf: [19:00:00 05/10/2015] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 16 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4093838 hi: 29031 t0: [20:00:00 05/10/2015] tf: [22:00:00 07/10/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4093839 hi: 29031 t0: [20:00:00 05/10/2015] tf: [19:00:00 05/10/2015] mn: Docusate Sodium pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4093840 hi: 29031 t0: [16:00:00 05/10/2015] tf: [10:00:00 09/10/2015] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4093841 hi: 29031 t0: [16:00:00 05/10/2015] tf: [22:00:00 14/10/2015] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4093842 hi: 29031 t0: [16:00:00 05/10/2015] tf: [00:00:00 06/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 16, 22, 4, 10 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4093843 hi: 29031 t0: [16:00:00 05/10/2015] tf: [00:00:00 06/10/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 16, 22, 4, 10 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4093849 hi: 29031 t0: [22:00:00 05/10/2015] tf: [12:00:00 07/10/2015] mn: Phenobarbital pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 05/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Respiratory Rate t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Precautions t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Respiratory Rate t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:30:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [17:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4094720 hi: 29031 t0: [20:00:00 05/10/2015] tf: [13:00:00 23/10/2015] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4094721 hi: 29031 t0: [10:00:00 05/10/2015] tf: [10:00:00 08/10/2015] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Urine Out Foley t0: [18:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Art.pH t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:16:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 05/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: WBC (4-11,000) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: WBC t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Hematocrit t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 42.1 n1: 42.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.3 n1: 14.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: RBC t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.56 n1: 4.56 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 26.087 n1: 26.087 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 545 n1: 545 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 05/10/2015] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: PT t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: Calcium t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: INR t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Magnesium t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PTT t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 rs: Final st: NotStopd id: Phosphorous t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 rs: Final st: NotStopd id: PTT(22-35) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 rs: Final st: NotStopd id: Phenobarbital t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23.6 n1: 23.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 05/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [19:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GU Catheter Size t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LL Strength/Movement t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: Pain Location t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 05/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [20:00:00 05/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [20:00:00 05/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: CPK/MB t0: [18:38:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd
pi: 4095085 hi: 29031 t0: [22:00:00 05/10/2015] tf: [21:00:00 06/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4095086 hi: 29031 t0: [22:00:00 05/10/2015] tf: [21:00:00 06/10/2015] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip
pi: 4095226 hi: 29031 t0: [23:00:00 05/10/2015] tf: [22:00:00 06/10/2015] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Art.pH t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Lactic Acid t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [22:29:00 05/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:45:00 05/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [22:45:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Gastric Meds t0: [22:45:00 05/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 140 vu: ml
id: PO/Gastric In Total t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 170 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 05/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0.625 vu: ml id: Urine Out Foley t0: [23:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 33 vu: ml
id: Fentanyl t0: [23:00:00 05/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 0.625 cv: 300.625 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 140.625 cv: 470.625 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 33 cv: 33 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 33 cv: 430 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 107.625 cv: 40.625 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 107.625 cv: 40.625 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 107.625 cv: 107.625 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/10/2015] el: 3 cg: RN cu: CSRU pv: 33 cv: 430 ac: 24 ap: none re: 0
pi: 4095418 hi: 29031 t0: [01:00:00 06/10/2015] tf: [10:00:00 07/10/2015] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4095419 hi: 29031 t0: [10:00:00 06/10/2015] tf: [01:00:00 15/10/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 06/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [23:00:00 05/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 06/10/2015] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [00:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [00:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Fentanyl t0: [00:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 515 n1: 515 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [01:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [01:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 06/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [03:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: WBC t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: Hematocrit t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39.9 n1: 39.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: RBC t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.33 n1: 4.33 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd
id: PT t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: INR t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 rs: Final st: NotStopd
id: BUN t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:35:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [05:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 27 vu: ml
id: Fentanyl t0: [05:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: HOB t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [06:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 26 vu: ml
id: Fentanyl t0: [06:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1.2 n1: 1.2 u1: L st: NotStopd id: Ventilator Type t0: [06:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd
pi: 4095897 hi: 29031 t0: [08:00:00 06/10/2015] tf: [18:00:00 06/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
id: Pain Present t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [07:00:00 06/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: ETT Mark/Location t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: NBP t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Pain Location t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Ventilator Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 06/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [07:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [07:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LL Strength/Movement t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [07:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Compliance (40-60ml) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:4 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.76 n1: 7.76 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 571 n1: 571 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [07:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [08:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Fentanyl t0: [08:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
io: D5/.45NS 1000.0ml el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [09:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Fentanyl t0: [09:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Activity t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Position t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Therapeutic Bed t0: [09:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
id: Service Type t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [10:00:00 06/10/2015] el: 1 ai: 112 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [10:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Fentanyl t0: [10:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [11:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [11:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 54.5455 n1: 54.5455 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 41 n1: 41 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.96 n1: 7.96 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Tank B psi. t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:30:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Glucose t0: [12:00:00 06/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 112 n1: 112 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 06/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 112 n1: 112 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: RU Strength/Movement t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [12:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [12:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [14:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Fentanyl t0: [13:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4097702 hi: 29031 t0: [17:00:00 06/10/2015] tf: [10:00:00 11/10/2015] mn: Dexamethasone pt: Unit Dose st: Discontinued rt: IV fr: Q12H ds: 17, 5 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 102.667 n1: 102.667 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: calprevflg t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: Fentanyl t0: [16:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 102.667 n1: 102.667 u1: mmHg st: NotStopd id: NBP Mean t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [16:15:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:20:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:25:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd
id: Riker-SAS Scale t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 06/10/2015] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: O2 Delivery Device t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd
id: Service Type t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:30:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.55 n1: 0.55 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Type t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 718 n1: 718 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: FiO2 Set t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.55 n1: 0.55 u1: torr st: NotStopd id: Airway Type t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Minute Volume(Obser) t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: 757 n1: 757 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:45:00 06/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [17:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Position Change t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Service Type t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml st: Restart id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [19:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fentanyl t0: [18:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Ventilator Type t0: [19:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd
id: GI#1 Intub Site t0: [20:00:00 06/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [20:00:00 06/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 06/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [20:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [20:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 1.5 n1: 1.5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Previous Weight t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [21:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fentanyl t0: [21:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 06/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml st: Stopped id: Urine Out Foley t0: [22:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [22:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: IV Infusion In Total t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU cv: 450 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU cv: 450 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 06/10/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Total Hourly Output t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: 65 cv: 65 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: 65 cv: 823 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: -65 cv: -373 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: -65 cv: -332.375 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: -65 cv: -65 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/10/2015] el: 3 cg: RN cu: CSRU pv: 65 cv: 823 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [22:00:00 06/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: FiO2 Set t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [00:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Restraint Location t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [01:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Service Type t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Total Hourly Output t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 992 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 458 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 125.625 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 992 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: WBC t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd id: Hematocrit t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40.7 n1: 40.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: RBC t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.42 n1: 4.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.2 n1: 6.2 rs: Final st: NotStopd
id: BUN t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Magnesium t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Glucose t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:27:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [05:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Airway Type t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Aerosol-Cool st: NotStopd id: Ventilator Type t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd
id: ETT Mark/Location t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU st: NotStopd id: Airway Size t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 06/10/2015] el: 0 cg: RRTs cu: CSRU v1: 6 n1: 6 u1: lpm st: NotStopd id: Previous Weight t0: [06:00:00 07/10/2015] el: 0 cg: RRTs cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [06:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 07/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Handout t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Learner t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Method t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Readiness t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Response t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 07/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [08:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4100282 hi: 29031 t0: [11:00:00 07/10/2015] tf: [00:00:00 11/10/2015] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4100301 hi: 29031 t0: [11:00:00 07/10/2015] tf: [12:00:00 13/10/2015] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5 1/2 NS Continuous at 100 ml/hr ir: 100 it: C ss: N di: Ongoing xu: Enter on Label
id: Venous CO2(Calc) t0: [11:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Venous PvCO2 t0: [11:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [11:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [11:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 u1: pH rs: Final st: NotStopd
pi: 4100636 hi: 29031 t0: [13:00:00 07/10/2015] tf: [21:00:00 15/10/2015] mn: Phenobarbital pt: Unit Dose st: Discontinued rt: IV fr: Q12H ds: 13, 1 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 07/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [10:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [11:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: KCL io: D5/.45NS 1000.0ml el: 200 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 1000.0ml el: 2 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [13:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 42 vu: ml
id: FiO2 Set t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 07/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [15:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [14:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [15:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [16:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Service Type t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Oral Care t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [17:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [17:00:00 07/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Alarms t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Airway Size t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: Pupil Response R/L t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Braden Activity t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Mobility t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden SensoryPercep t0: [17:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Pain Present t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Airway Size t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: RU Strength/Movement t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5/.45NS 1000.0ml t0: [20:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [20:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: D5W 100.0ml t0: [20:00:00 07/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
pi: 4102671 hi: 29031 t0: [23:00:00 07/10/2015] tf: [01:00:00 17/10/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 23, 5, 11, 17 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 103.667 n1: 103.667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 07/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS 1000.0ml t0: [22:00:00 07/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [22:00:00 07/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Po Intake t0: [00:00:00 08/10/2015] el: 1 ai: 103 cg: RN cu: CSRU vo: 150 vu: ml id: Po Intake t0: [21:00:00 07/10/2015] el: 1 ai: 103 cg: RN cu: CSRU vo: 150 vu: ml id: D5/.45NS 1000.0ml t0: [00:00:00 08/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [00:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: 24h Total In t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 1450 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 07/10/2015] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 08/10/2015] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Pain Present t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [03:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [03:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: IV Infusion In Total t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: 10 cv: 990 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: 10 cv: 1140 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: 80 cv: 1335 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: -70 cv: -195 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: -70 cv: -69.375 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: -70 cv: -70 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/10/2015] el: 3 cg: 3161 cu: CSRU pv: 80 cv: 1335 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: WBC t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd id: Hematocrit t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39.3 n1: 39.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: RBC t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.19 n1: 4.19 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.9 n1: 5.9 rs: Final st: NotStopd
id: BUN t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Albumin t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Calcium t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: BUN (6-20) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:06:00 08/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [04:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [02:00:00 08/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vo: 200 vu: ml st: Stopped id: D5/.45NS 1000.0ml t0: [03:00:00 08/10/2015] el: 2 ai: 113 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [05:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Service Type t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 08/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LL Strength/Movement t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Pupil Response R/L t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 08/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: FiO2 Set t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Type t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4103786 hi: 29031 t0: [11:00:00 08/10/2015] tf: [21:00:00 15/10/2015] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 11, 23 dn: 2 di: Ongoing xu: Enter on Label
id: Service Type t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [08:15:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: D5W 100.0ml t0: [09:00:00 08/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [09:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98.6667 n1: 98.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: FiO2 Set t0: [11:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [11:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 08/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Pain Present t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 08/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Gag Reflex t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [10:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Pain Present t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 08/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4105516 hi: 29031 t0: [20:00:00 08/10/2015] tf: [10:00:00 11/10/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: Position t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 08/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Airway Size t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: HOB t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Urine Out Foley t0: [20:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: D5W 100.0ml t0: [20:00:00 08/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 08/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 08/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Less Restrict Meas. t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [23:00:00 08/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [23:00:00 08/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Pain Present t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Pain Location t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 112.333 n1: 112.333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [03:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: IV Infusion In Total t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 1280 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 1680 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU cv: 960 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 720 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 650.625 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/10/2015] el: 3 cg: RN cu: CSRU cv: 960 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: WBC t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd id: Previous Weight t0: [05:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous Weight t0: [10:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous Weight t0: [16:15:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous Weight t0: [21:00:00 06/10/2015] el: 0 cg: 3161 cu: CSRU v1: 88.7 n1: 88.7 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 06/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 07/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 06/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [16:15:00 06/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 06/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 06/10/2015] el: 0 cg: 3161 cu: CSRU u1: kg st: NotStopd id: Hematocrit t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: RBC t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.26 n1: 4.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 95 vu: ml
id: Less Restrict Meas. t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Education Topic #1 t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: Pupil Response R/L t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [04:00:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [04:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: BUN t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Magnesium t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride (100-112) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Carbon Dioxide t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: PT t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: INR t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:09:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
pi: 4107114 hi: 29031 t0: [08:00:00 09/10/2015] tf: [07:00:00 10/10/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 107.667 n1: 107.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Skin Care t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Temp. Site t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 09/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: BSA t0: [08:15:00 09/10/2015] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [08:15:00 09/10/2015] el: 1032 cg: -1 cu: CSRU v1: 88.7 n1: 88.7 u1: kg id: Allergy 1 t0: [08:15:00 09/10/2015] el: 1020 cg: -1 cu: CSRU v1: Amoxicillin id: Diagnosis/op t0: [08:15:00 09/10/2015] el: 1023 cg: -1 cu: CSRU id: Service t0: [08:15:00 09/10/2015] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [08:15:00 09/10/2015] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [08:15:00 09/10/2015] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [08:15:00 09/10/2015] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [08:15:00 09/10/2015] el: 1000 cg: -1 cu: CSRU v1: OTR id: Allergy 2 t0: [08:15:00 09/10/2015] el: 1021 cg: -1 cu: CSRU v1: Tegretol (Oral) (Carbamazepine) id: Ext t0: [08:15:00 09/10/2015] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [08:15:00 09/10/2015] el: 1022 cg: -1 cu: CSRU
id: PT t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: INR t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 58.4 n1: 58.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: PTT(22-35) t0: [07:54:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 58.4 n1: 58.4 rs: Final st: NotStopd
id: Service Type t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4107474 hi: 29031 t0: [20:00:00 09/10/2015] tf: [07:00:00 13/10/2015] mn: Guaifenesin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4107524 hi: 29031 t0: [11:00:00 09/10/2015] tf: [08:00:00 29/10/2015] mn: Lidocaine 1% pt: Unit Dose st: Discontinued rt: IH fr: Q1-2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4107556 hi: 29031 t0: [11:00:00 09/10/2015] tf: [16:00:00 09/10/2015] mn: Codeine Phosphate pt: Unit Dose st: Discontinued rt: IV fr: ONCE:PRN dn: 0 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:15:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: ETT Mark/Location t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rate t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: NBP t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 107.667 n1: 107.667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: NBP Mean t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Ventilator Type t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV#1Chg o/Wire Date t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Cough Reflex t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Diet Type t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Education Topic #1 t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Follows Commands t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Catheter Size t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Size t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Airway Type t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: Intubation Date t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: LL Strength/Movement t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: LU Strength/Movement t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [10:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 4 n2: 4 st: NotStopd id: Pupil Response R/L t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: RU Strength/Movement t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: Radiologic Study t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Discoordinate st: NotStopd id: Restraint Location t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Turn t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [10:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [10:45:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 3 Inapprop words st: NotStopd id: Back Care t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [10:15:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:00:00 09/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: ETT Mark/Location t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Intubation Date t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 5 n2: 5 st: NotStopd id: NBP t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [11:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Potassium Phosphate io: .9% Normal Saline el: 100 cg: RN cu: CSRU am: 15 du: mEq rt: Intravenous Push
id: FiO2 Set t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Type t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: Other/Remarks st: NotStopd id: Low Exhaled Min Vol t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Micro-Neb Treatment t0: [10:15:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd id: Minute Volume(Obser) t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 16.5 n1: 16.5 u1: L/min st: NotStopd id: PEEP Set t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: SpO2 t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 646 n1: 646 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:50:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CSRU ra: 90 ru: ml/hr
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 09/10/2015] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: INV#1Chg o/Wire Date t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [12:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [12:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Alarms t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Temp. Site t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd
id: D5/.45NS 1000.0ml t0: [12:00:00 09/10/2015] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5/.45NS 1000.0ml t0: [12:00:00 09/10/2015] el: 2 ai: 113 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Cough Reflex t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Education Topic #1 t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Restraint Location t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Amber v2: Cloudy st: NotStopd id: Urine Source t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Glucose t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU rs: Manual st: NotStopd id: Fingerstick Glucose t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd id: Glucose (70-105) t0: [12:00:00 09/10/2015] el: 0 cg: RN cu: CSRU rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: TF Residual t0: [14:00:00 09/10/2015] el: 1 ai: 155 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: FiO2 Set t0: [14:00:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Delivery Device t0: [14:00:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 09/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: INV#1Chg o/Wire Date t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: OR Crystalloid t0: [11:00:00 09/10/2015] el: 1 ai: 112 cg: RN cu: CSRU vo: 400 vu: ml
id: Service Type t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [16:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Cough Reflex t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Eye Opening t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Gag Reflex t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RL Strength/Movement t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Therapeutic Bed t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 09/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline t0: [17:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: IV #1 Reason DC'D t0: [17:00:00 09/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [17:00:00 09/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [17:00:00 09/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [17:00:00 09/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [17:00:00 09/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: OR Crystalloid t0: [17:00:00 09/10/2015] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Education Topic #1 t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Side Rails t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd
id: Service Type t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Skin Integrity t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Braden Activity t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [17:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline t0: [18:00:00 09/10/2015] el: 1 ai: 481 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4109355 hi: 29031 t0: [19:00:00 09/10/2015] tf: [18:00:00 10/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Expired rt: IH fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4109356 hi: 29031 t0: [19:00:00 09/10/2015] tf: [18:00:00 10/10/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Expired rt: IH fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4109395 hi: 29031 t0: [19:00:00 09/10/2015] tf: [20:00:00 09/10/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4109396 hi: 29031 t0: [19:00:00 09/10/2015] tf: [20:00:00 09/10/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: .9% Normal Saline t0: [18:01:00 09/10/2015] el: 1 ai: 481 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Riker-SAS Scale t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd
id: Art.pH t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:19:00 09/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [18:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [19:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: INV#1Chg o/Wire Date t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: HOB t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Heart Rate t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: NBP t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Respiratory Rate t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: D5W 100.0ml t0: [20:00:00 09/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Precautions t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [21:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [21:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 09/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: INV#1Chg o/Wire Date t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:30:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: NBP t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 09/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 09/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Service Type t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Brady st: NotStopd id: NBP t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Total Hourly Output t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 1290 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 1290 ac: 24 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Precautions t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Side Rails t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 720 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 720 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: -570 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: 80.625 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU pv: -50 cv: -50 ac: 1 ap: none re: 0
id: INV#1Chg o/Wire Date t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Temperature F t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Less Restrict Meas. t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: BUN t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: INR t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.2 n1: 35.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: PTT(22-35) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.2 n1: 35.2 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: WBC t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Hematocrit t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.1 n1: 38.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: RBC t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.13 n1: 4.13 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:38:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [07:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 115 vu: ml
id: Less Restrict Meas. t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 10/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 10/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Less Restrict Meas. t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
pi: 4111149 hi: 29031 t0: [13:00:00 10/10/2015] tf: [23:00:00 05/11/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 10/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Guaiac t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 114.667 n1: 114.667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Lactic Acid t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [15:07:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
pi: 4111731 hi: 29031 t0: [17:00:00 10/10/2015] tf: [23:00:00 05/11/2015] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4111732 hi: 29031 t0: [17:00:00 10/10/2015] tf: [23:00:00 05/11/2015] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 10/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [12:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Location t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Stool Guaiac t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: MDI #1 (Puff/Drug) t0: [12:00:00 10/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Atrovent st: NotStopd
id: WBC (4-11,000) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: WBC t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd id: Hematocrit t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40.8 n1: 40.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.5 n1: 13.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: RBC t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.38 n1: 4.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.6 n1: 6.6 rs: Final st: NotStopd
id: BUN t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: INR t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [16:14:00 10/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: FiO2 Set t0: [18:00:00 10/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: MDI #1 (Puff/Drug) t0: [18:00:00 10/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: O2 Delivery Device t0: [18:00:00 10/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 10/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Radiologic Study t0: [17:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: XRAY st: NotStopd
id: D5W 100.0ml t0: [18:00:00 10/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml
id: INV#1Chg o/Wire Date t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LL Strength/Movement t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Rate t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 10/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: LLL Lung Sounds t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd
id: HOB t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd
io: Tube Feeding el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 10/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml nb: 1 id: Urine Out Foley t0: [21:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Tube Feeds In Total t0: [23:00:00 10/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Orientation t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 10/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4112788 hi: 29031 t0: [01:00:00 11/10/2015] tf: [08:00:00 20/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours pi: 4112789 hi: 29031 t0: [01:00:00 11/10/2015] tf: [20:00:00 15/10/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [01:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Type t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Oral Cavity t0: [20:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Oral Cavity t0: [23:00:00 10/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Service Type t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [06:00:00 11/10/2015] el: 1 cg: RN cu: CSRU v1: done
id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Pain Present t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [07:00:00 11/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Stool Out Stool t0: [04:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Stool Out Stool t0: [06:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [08:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Stool Out Total t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: FiO2 Set t0: [08:35:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [08:35:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd id: O2 Delivery Device t0: [08:35:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:35:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [08:35:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd
id: Service Type t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 102.667 n1: 102.667 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: O2 Delivery Device t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: FiO2 Set t0: [12:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [12:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Urine Out Foley t0: [12:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Pain Present t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 11/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Family Communication t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GU Catheter Size t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Cavity t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Pupil Response R/L t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [11:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: Tube Feeding t0: [12:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml nb: 1
id: Service Type t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 108 n2: 108 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 11/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 11/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [15:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [17:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Tube Feeds In Total t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: Service Type t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: FiO2 Set t0: [17:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [17:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd id: O2 Delivery Device t0: [17:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 11/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: INV Line#1 Zero/Cal t0: [19:00:00 11/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 11/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 12/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 12/10/2015] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Pain Type t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 11/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 430 ac: 24 ap: none re: 0 id: IV Infusion In Total t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1115 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 480 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1115 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 75 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 1455 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1213 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: -35 cv: -975 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 0 cv: -98 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: -35 cv: -894.375 ac: multiple days ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 0 cv: -992.375 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: -35 cv: -35 ac: 1 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 1455 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 12/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1213 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: WBC t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Hematocrit t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.3 n1: 38.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.3 n1: 13.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 129 n1: 129 rs: Final st: NotStopd id: RBC t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.26 n1: 4.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Pain Assess Method t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 12/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 12/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 43 vu: ml id: Urine Out Foley t0: [05:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4115190 hi: 29031 t0: [06:00:00 12/10/2015] tf: [05:00:00 13/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4115191 hi: 29031 t0: [06:00:00 12/10/2015] tf: [05:00:00 13/10/2015] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4115192 hi: 29031 t0: [06:00:00 12/10/2015] tf: [05:00:00 12/10/2015] mn: Sodium Phosphate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4115193 hi: 29031 t0: [06:00:00 12/10/2015] tf: [05:00:00 12/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4115202 hi: 29031 t0: [06:00:00 12/10/2015] tf: [05:00:00 13/10/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: PT t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17.2 n1: 17.2 rs: Final st: NotStopd id: INR t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PTT t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.1 n1: 38.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17.2 n1: 17.2 rs: Final st: NotStopd id: PTT(22-35) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.1 n1: 38.1 rs: Final st: NotStopd
id: BUN t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [03:31:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [07:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [07:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: INV#1Chg o/Wire Date t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: Service Type t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GU Catheter Size t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
pi: 4115511 hi: 29031 t0: [20:00:00 12/10/2015] tf: [18:00:00 20/10/2015] mn: Glycopyrrolate pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: D5W 100.0ml t0: [08:45:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vu: ml
id: Service Type t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: calprevflg t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:15:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: Urine Out Foley t0: [10:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: INV#1Chg o/Wire Date t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Site Date t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Type/Site t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [11:00:00 12/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: FiO2 Set t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [10:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Type t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Bowel Sounds t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Micro-Neb Treatment t0: [12:00:00 12/10/2015] el: 0 cg: RRT cu: CSRU v1: A/A st: NotStopd id: Sputum Color/Consist t0: [12:00:00 12/10/2015] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 12/10/2015] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Service Type t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Heart Rate t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #1 Insert Date t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: Assistance Device t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Back Care t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Foley t0: [15:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: NBP t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Type t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Calcium t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phenobarbital t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22.8 n1: 22.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:46:00 12/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Service Type t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
pi: 4116840 hi: 29031 t0: [21:00:00 12/10/2015] tf: [20:00:00 13/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Pain Present t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [20:00:00 12/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped
id: Service Type t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 106.333 n1: 106.333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [20:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [22:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Temperature C t0: [01:00:00 13/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 114.667 n1: 114.667 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [22:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 12/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 13/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 13/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 75 vu: ml id: D5W 100.0ml t0: [23:00:00 12/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 13/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [23:00:00 12/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [02:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 13/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 13/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: 50 cv: 1670 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: 50 cv: 1670 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: 65 cv: 65 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: 65 cv: 1360 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: -15 cv: 310 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: -15 cv: -682.375 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: -15 cv: -15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/10/2015] el: 3 cg: 8651 cu: CSRU pv: 65 cv: 1360 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 11 n2: 11 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [03:00:00 13/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [04:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [05:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: PT t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: INR t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 46.1 n1: 46.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19.2 n1: 19.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 46.1 n1: 46.1 rs: Final st: NotStopd
id: BUN t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: WBC t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Hematocrit t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40.6 n1: 40.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: RBC t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.52 n1: 4.52 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:30:00 13/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 rs: Final st: NotStopd
pi: 4117551 hi: 29031 t0: [08:00:00 13/10/2015] tf: [11:00:00 16/10/2015] mn: Guaifenesin pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [08:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 4117782 hi: 29031 t0: [10:00:00 13/10/2015] tf: [09:00:00 14/10/2015] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:15:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:45:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: NBP t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:30:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: FiO2 Set t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Delivery Device t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Delivery Device t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
pi: 4118465 hi: 29031 t0: [13:00:00 13/10/2015] tf: [12:00:00 14/10/2015] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4118469 hi: 29031 t0: [13:00:00 13/10/2015] tf: [12:00:00 14/10/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4118597 hi: 29031 t0: [13:00:00 13/10/2015] tf: [21:00:00 13/10/2015] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5 1/2 NS Continuous at 100 ml/hr ir: 100 it: C ss: N di: Ongoing xu: Enter on Label
id: Pain Present t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [12:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: KCL io: D5NS 1000.0ml el: 100 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
io: D5NS 1000.0ml el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [12:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [13:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 13/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5NS 1000.0ml t0: [14:00:00 13/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [14:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [15:00:00 13/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Pain Present t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [16:00:00 13/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Service Type t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [17:00:00 13/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [17:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [18:00:00 13/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [19:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [19:00:00 13/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 13/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: Support Systems t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [20:00:00 13/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 13/10/2015] el: 1 cg: 8651 cu: CSRU vo: 100 vu: ml
pi: 4120320 hi: 29031 t0: [22:00:00 13/10/2015] tf: [17:00:00 15/10/2015] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5 1/2 NS Continuous at 50 ml/hr ir: 50 it: C ss: N di: Ongoing xu: Enter on Label
id: Service Type t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [21:00:00 13/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 100 vu: ml
id: Urine Out Foley t0: [21:00:00 13/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [22:00:00 13/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [22:00:00 13/10/2015] el: 1 cg: 8651 cu: CSRU vo: 60 vu: ml
id: Service Type t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [23:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [23:00:00 13/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 13/10/2015] el: 1 cg: 8651 cu: CSRU vo: 65 vu: ml
id: Pain Present t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU v1: done id: Bowel Sounds t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Moisture t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden SensoryPercep t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [00:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 60 vu: ml
id: IV #1 Insert Date t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #2 Site/Size t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 13/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd
id: Service Type t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [01:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [01:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [01:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: Service Type t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [02:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [02:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: Service Type t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [03:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [03:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: 50 cv: 1644.23 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: 50 cv: 1644.23 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: 100 cv: 1380 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: -50 cv: 234.233 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: -50 cv: -448.142 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: -50 cv: -50 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU pv: 100 cv: 1410 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Back st: NotStopd id: Turn t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [04:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [04:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: Alarms t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd
id: WBC (4-11,000) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.8 n1: 6.8 rs: Final st: NotStopd id: WBC t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.8 n1: 6.8 rs: Final st: NotStopd id: Hematocrit t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.6 n1: 38.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: RBC t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.26 n1: 4.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.8 n1: 6.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [05:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: BUN t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: INR t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.6 n1: 38.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:49:00 14/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.6 n1: 38.6 rs: Final st: NotStopd
id: Urine Out Foley t0: [06:00:00 14/10/2015] el: 1 cg: CoWker cu: CSRU vo: 65 vu: ml
pi: 4121277 hi: 29031 t0: [07:00:00 14/10/2015] tf: [06:00:00 15/10/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [06:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [07:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Stool Out Stool t0: [07:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: Stool Out Total t0: [23:00:00 14/10/2015] el: 3 cg: 8651 cu: CSRU cv: 30 ac: 24 ap: none re: 0
id: HOB t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd
io: D5W 500.0ml el: 1 cg: RN cu: CSRU ra: 83.3 ru: ml/hr
id: Pain Present t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Support Systems t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [09:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [09:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: D5W 500.0ml t0: [09:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Service Type t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: IV #1 Reason DC'D t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #1 D/C Date t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #1 Insert Date t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Wrist v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: NBP t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [10:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [10:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [10:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV #1 Reason DC'D t0: [10:01:00 14/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [10:01:00 14/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [10:01:00 14/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [10:01:00 14/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [10:01:00 14/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Precautions t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:10:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Pain Present t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [11:20:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: FiO2 Set t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [11:40:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [11:40:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 500.0ml t0: [11:40:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [11:40:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: Precautions t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:15:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: IV #3 Insert Date t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [12:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: Service Type t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [13:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 66.6667 vu: ml id: D5W 500.0ml t0: [13:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 111.067 vu: ml id: Urine Out Foley t0: [13:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [14:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [14:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [14:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 115 vu: ml
id: Service Type t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [15:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [15:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [15:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: Pain Present t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: FiO2 Set t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LL Strength/Movement t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [16:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [16:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [16:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [17:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [17:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 14/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [18:00:00 14/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [17:00:00 14/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml st: Stopped id: Urine Out Foley t0: [18:00:00 14/10/2015] el: 1 cg: RN cu: CSRU vo: 115 vu: ml
id: Service Type t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU v1: done id: Bowel Sounds t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [19:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: D5NS 1000.0ml t0: [20:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 45 vu: ml
id: FiO2 Set t0: [20:30:00 14/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Delivery Device t0: [20:30:00 14/10/2015] el: 0 cg: RRT cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:30:00 14/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [20:30:00 14/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thin st: NotStopd
id: Code Status t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98.6667 n1: 98.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [21:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [21:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 150 vu: ml
id: Service Type t0: [21:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [22:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [22:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 30 vu: ml
id: Service Type t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 105.667 n1: 105.667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [23:00:00 14/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 14/10/2015] el: 1 cg: 8651 cu: CSRU vo: 100 vu: ml
id: Pain Present t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [22:00:00 14/10/2015] el: 0 cg: 8651 cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [00:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 75 vu: ml
id: Alarms t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd
id: FiO2 Set t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: O2 Delivery Device t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [01:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [01:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [01:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 50 vu: ml
pi: 4124211 hi: 29031 t0: [10:00:00 15/10/2015] tf: [06:00:00 15/10/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [02:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [02:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd
id: Art.pH t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:19:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Service Type t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [03:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [03:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 265.966 cv: 2259.43 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 265.966 cv: 2259.43 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 2435 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 205.966 cv: -175.571 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 205.966 cv: -623.713 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 205.966 cv: 205.966 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 2435 ac: 24 ap: none re: 0
id: Activity t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Side st: NotStopd id: Position t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Back st: NotStopd
id: Pain Present t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bleeding st: NotStopd id: IV Site Appear #3 t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [04:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [04:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 75 vu: ml
id: Service Type t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [05:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 35 vu: ml
id: WBC (4-11,000) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: WBC t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Hematocrit t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 43.2 n1: 43.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 184 n1: 184 rs: Final st: NotStopd id: RBC t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.61 n1: 4.61 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd
id: PT t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39.9 n1: 39.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39.9 n1: 39.9 rs: Final st: NotStopd
id: BUN t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 15/10/2015] el: 0 cg: 8651 cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [06:00:00 15/10/2015] el: 1 ai: 296 cg: 8651 cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [06:00:00 15/10/2015] el: 1 cg: 8651 cu: CSRU vo: 70 vu: ml
id: Pain Present t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5NS 1000.0ml t0: [08:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [08:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: calprevflg t0: [09:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [09:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [09:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Sputum Color/Consist t0: [09:30:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [09:30:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
pi: 4125141 hi: 29031 t0: [11:00:00 15/10/2015] tf: [10:00:00 16/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity Tolerance t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 107.667 n1: 107.667 u1: mmHg st: NotStopd id: Assistance Device t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [10:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [11:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd
id: D5NS 1000.0ml t0: [11:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [11:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: GU Catheter Size t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: IV #2 Insert Date t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #2 t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [12:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [12:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 675 vu: ml
id: Service Type t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [13:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 190 vu: ml
id: Service Type t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [15:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip
id: Compliance (40-60ml) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 1:4.4 st: NotStopd id: Airway Size t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 511 n1: 511 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 15/10/2015] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Precautions t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [15:30:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:15:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [16:15:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 62.5 vu: ml id: D5NS 1000.0ml t0: [17:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 37.5 vu: ml id: D5W 500.0ml t0: [16:15:00 15/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: Urine Out Foley t0: [16:15:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 175 vu: ml
id: Art.pH t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:54:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
pi: 4126626 hi: 29031 t0: [18:00:00 15/10/2015] tf: [19:00:00 15/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 250 ml/hr for 250 ml ir: 250 it: C ss: N dt: 1 di: Hours xu: Enter on Label pi: 4126627 hi: 29031 t0: [18:00:00 15/10/2015] tf: [00:00:00 16/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 120 ml/hr for 720 ml ir: 120 it: C ss: N dt: 6 di: Hours xu: Enter on Label
id: Service Type t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: NBP t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [17:10:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: High Insp. Pressure t0: [17:15:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: PEEP Set t0: [17:15:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [17:15:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd
id: Service Type t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5NS 1000.0ml t0: [18:00:00 15/10/2015] el: 1 ai: 296 cg: RN cu: CSRU vo: 50 vu: ml st: Stopped id: D5W 500.0ml t0: [17:00:00 15/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: D5W 500.0ml t0: [18:00:00 15/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [19:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4127083 hi: 29031 t0: [20:00:00 15/10/2015] tf: [00:00:00 19/10/2015] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4127084 hi: 29031 t0: [20:00:00 15/10/2015] tf: [00:00:00 19/10/2015] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4127085 hi: 29031 t0: [20:00:00 15/10/2015] tf: [00:00:00 19/10/2015] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: INV Line#1 Type/Site t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd
id: Arterial BP t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd
id: IV Site Appear #3 t0: [20:00:00 15/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4127166 hi: 29031 t0: [21:00:00 15/10/2015] tf: [08:00:00 20/10/2015] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4127167 hi: 29031 t0: [21:00:00 15/10/2015] tf: [08:00:00 20/10/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4127269 hi: 29031 t0: [21:00:00 15/10/2015] tf: [20:00:00 16/10/2015] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 15/10/2015] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Follows Commands t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: IV #2 Insert Date t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 11 n2: 11 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Position t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Temp. Site t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: IV #3 Reason DC'D t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Clotted off st: NotStopd id: IV Site Appear #2 t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 17.8571 n1: 17.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.9 st: NotStopd id: Airway Size t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 586 n1: 586 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [21:00:00 15/10/2015] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: Risk for Falls t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Eye Opening t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GU Catheter Size t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Source t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Art.pH t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: CaO2 t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18.1143 n1: 18.1143 u1: ml/dl st: NotStopd id: ETT Mark/Location t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Size t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: PEEP Set t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Arterial Base Excess t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: SaO2 t0: [20:46:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 u1: % rs: Final st: NotStopd
id: Sodium Bicarbonate io: D5W 1000.0ml el: 100 cg: RN cu: CSRU am: 150 du: mEq rt: Intravenous Push
io: D5W 1000.0ml el: 1 cg: RN cu: CSRU ra: 250 ru: ml/hr
pi: 4127461 hi: 29031 t0: [22:00:00 15/10/2015] tf: [11:00:00 16/10/2015] mn: Phenobarbital pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q12H ds: 22, 10 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4127462 hi: 29031 t0: [10:00:00 15/10/2015] tf: [22:00:00 22/10/2015] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4127463 hi: 29031 t0: [22:00:00 15/10/2015] tf: [11:00:00 16/10/2015] mn: HydrALAZINE HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4127464 hi: 29031 t0: [20:00:00 15/10/2015] tf: [08:00:00 27/10/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 15/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [22:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
id: IV #1 Insert Date t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd
id: Art.pH t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: CaO2 t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19.0341 n1: 19.0341 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: SaO2 t0: [22:02:00 15/10/2015] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Service Type t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 15/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [23:00:00 15/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: INV Line#1 Type/Site t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 Site/Size t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Cap Change t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd
pi: 4127542 hi: 29031 t0: [00:00:00 16/10/2015] tf: [11:00:00 16/10/2015] mn: HydrALAZINE HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE MR1 ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: FiO2 Set t0: [23:00:00 15/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Diet Type t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GU Catheter Size t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Respiratory Pattern t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [23:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 16/10/2015] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 15/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Mobility t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [00:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 4127682 hi: 29031 t0: [01:00:00 16/10/2015] tf: [23:00:00 05/11/2015] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4127683 hi: 29031 t0: [01:00:00 16/10/2015] tf: [23:00:00 05/11/2015] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Radiologic Study t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Follows Commands t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LL Strength/Movement t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: LU Strength/Movement t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Oral Care t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Skin Care t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Art.pH t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19.1385 n1: 19.1385 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [00:43:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: IV #1 Reason DC'D t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 D/C Date t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Arterial BP t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: INV#1 Cap Change t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: calprevflg t0: [01:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: IV #1 Insert Date t0: [01:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [01:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [01:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: ETT Mark/Location t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: SpO2 t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: High Insp. Pressure t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: Apnea Time Interval t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 503 n1: 503 u1: ml/B st: NotStopd
id: FiO2 Set t0: [01:35:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd
id: Service Type t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: calprevflg t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Art.pH t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 172 n1: 172 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: CaO2 t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19.5746 n1: 19.5746 u1: ml/dl st: NotStopd id: SaO2 t0: [02:05:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Rate t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 16/10/2015] el: 1 cg: RN cu: CSRU v1: done
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 16/10/2015] el: 1 ai: 209 cg: RN cu: CSRU vo: 10.644 vu: ml id: D5W 1000.0ml t0: [03:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [03:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Propofol t0: [03:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Follows Commands t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #2 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [02:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [01:00:00 16/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [04:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [04:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Propofol t0: [04:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Art.pH t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Lactic Acid t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 226 n1: 226 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:13:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 16/10/2015] el: 1 ai: 209 cg: RN cu: CSRU vu: ml st: Restart id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 16/10/2015] el: 1 ai: 209 cg: RN cu: CSRU vu: ml st: Stopped
id: WBC (4-11,000) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: WBC t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: Hematocrit t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.9 n1: 38.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 203 n1: 203 rs: Final st: NotStopd id: RBC t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.26 n1: 4.26 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.2 n1: 15.2 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: Compliance (40-60ml) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:13:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: AaDO2 t0: [04:13:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 447 n1: 447 u1: mmHg st: NotStopd id: Airway Size t0: [04:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Size t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Intubation Date t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PAO2 t0: [04:13:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 673 n1: 673 u1: mmHg st: NotStopd id: PEEP Set t0: [01:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: PEEP Set t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 462 n1: 462 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: FiO2 Set t0: [04:50:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: BUN t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 183 n1: 183 rs: Final st: NotStopd id: Magnesium t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 183 n1: 183 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
pi: 4128129 hi: 29031 t0: [06:00:00 16/10/2015] tf: [06:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 500 ml/hr for 250 ml ir: 500 it: C ss: N dt: 0 di: Hours xu: Enter on Label pi: 4128136 hi: 29031 t0: [06:00:00 16/10/2015] tf: [10:00:00 16/10/2015] mn: Amikacin pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4128144 hi: 29031 t0: [06:00:00 16/10/2015] tf: [05:00:00 17/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4128145 hi: 29031 t0: [06:00:00 16/10/2015] tf: [05:00:00 17/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4128146 hi: 29031 t0: [06:00:00 16/10/2015] tf: [05:00:00 17/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4128147 hi: 29031 t0: [06:00:00 16/10/2015] tf: [06:00:00 16/10/2015] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Significant Events t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:05:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [05:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 500.0ml t0: [05:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [05:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: PT t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.6 n1: 34.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:46:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.6 n1: 34.6 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 16/10/2015] el: 0 cg: NA cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
pi: 4128237 hi: 29031 t0: [08:00:00 16/10/2015] tf: [13:00:00 21/10/2015] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4128238 hi: 29031 t0: [06:00:00 17/10/2015] tf: [01:00:00 17/10/2015] mn: Amikacin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 6 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:01:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [05:30:00 16/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 250 vu: ml id: D5W 1000.0ml t0: [06:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 500.0ml t0: [05:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 500.0ml t0: [06:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: Stool Out Stool t0: [04:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [06:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: ETT Mark/Location t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Size t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Intubation Date t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: PEEP Set t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: SpO2 t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Ventilator Type t0: [06:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [06:30:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: D5W 500.0ml t0: [06:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [07:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 500.0ml t0: [07:05:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [07:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Art.pH t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:12:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 465 n1: 465 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [08:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [09:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 16/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 1000.0ml t0: [08:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml st: Stopped id: D5W 500.0ml t0: [08:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [08:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PO/Gastric In Total t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU cv: 370 ac: 24 ap: none re: 0
id: Service Type t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: NBP t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:30:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [10:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [10:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4128793 hi: 29031 t0: [11:00:00 16/10/2015] tf: [10:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4128794 hi: 29031 t0: [11:00:00 16/10/2015] tf: [10:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4128795 hi: 29031 t0: [11:00:00 16/10/2015] tf: [10:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4128796 hi: 29031 t0: [11:00:00 16/10/2015] tf: [10:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: D5W 500.0ml t0: [10:15:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: D5W 500.0ml t0: [10:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Temp. Site t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Family Communication t0: [10:45:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd
id: D5W 1000.0ml t0: [11:00:00 16/10/2015] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5NS 1000.0ml t0: [11:00:00 16/10/2015] el: 1 ai: 296 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4128865 hi: 29031 t0: [12:00:00 16/10/2015] tf: [16:00:00 23/10/2015] mn: Aztreonam pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xu: Enter on Label pi: 4128866 hi: 29031 t0: [12:00:00 16/10/2015] tf: [12:00:00 20/10/2015] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4128934 hi: 29031 t0: [22:00:00 16/10/2015] tf: [22:00:00 22/10/2015] mn: Phenobarbital pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4128935 hi: 29031 t0: [12:00:00 16/10/2015] tf: [11:00:00 17/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4128936 hi: 29031 t0: [12:00:00 16/10/2015] tf: [23:00:00 05/11/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 55.5556 n1: 55.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [11:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: Tube Feeding t0: [12:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [12:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Less Restrict Meas. t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [11:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Family Communication t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 9 n2: 9 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: Pupil Response R/L t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Therapeutic Bed t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 500.0ml t0: [12:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Hematocrit t0: [12:55:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36.1 n1: 36.1 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [14:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 18 vu: ml