This log is also available as text (225bc.txt) and as a (binary) annotation file (225bc.log).
Generated: Thursday, 23-Apr-2009 00:35:52 EDT
(All dates below are surrogates.)
id: Service Type t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 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: [15:00:00 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: [15:00:00 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: [15:00:00 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: [15:00:00 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: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 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: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 485 n1: 485 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4130099 hi: 29031 t0: [17:00:00 16/10/2015] tf: [16:00:00 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: Cuff Pressure-Airway t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Source/Amt t0: [16:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 Insert Date t0: [16:00:00 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: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 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: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Verbal Response t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [16:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [16:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: D5W 500.0ml t0: [16:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Fingerstick Glucose t0: [12:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Hematocrit t0: [17:11:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.4 n1: 35.4 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU st: NotStopd id: IV #2 Insert Date t0: [18:00:00 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: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: INV#1 Cap Change t0: [18:00:00 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: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Therapeutic Bed t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [18:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 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: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 16/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: IV #1 Reason DC'D t0: [20:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Reason DC'D t0: [20:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [20:00:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [20:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 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: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 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: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 16/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Heart Rate t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: IV #2 Insert Date t0: [21:00:00 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: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: NBP t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 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: [21:00:00 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: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 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: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [20:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Rate t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: INV#1 Cap Change t0: [21:00:00 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: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: calprevflg t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [20:30:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [21:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Oral Care t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
pi: 4131002 hi: 29031 t0: [22:00:00 16/10/2015] tf: [21:00:00 17/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: IV #2 D/C Date t0: [21:01:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Insert Date t0: [21:01:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #2 Site/Size t0: [21:01:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #2 t0: [21:01:00 16/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 500.0ml t0: [21:00:00 16/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 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: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 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: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd
id: Service Type t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 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: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 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: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 16/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 16/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 16/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 16/10/2015] el: 1 cg: RN cu: CSRU vo: 275 vu: ml
id: IV Infusion In Total t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 4437.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 5007.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 275 cv: 275 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 200 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 275 cv: 773 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: -225 cv: 4234.25 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: -225 cv: 3610.54 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: -225 cv: -225 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/10/2015] el: 3 cg: RN cu: CSRU pv: 275 cv: 773 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:10:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Hematocrit t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.3 n1: 35.3 u1: % rs: Final st: NotStopd
id: Service Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Cough Reflex t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: ETT Mark/Location t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Airway Size t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 17/10/2015] 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: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Urine Source t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 71.4286 n1: 71.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 571 n1: 571 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Potassium t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd
pi: 4131486 hi: 29031 t0: [01:00:00 17/10/2015] tf: [00:00:00 18/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: INR t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:58:00 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: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: PTT(22-35) t0: [22:58:00 16/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.4 n1: 33.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [00:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Education Topic #1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: HOB t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Oral Care t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temperature C (calc) t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [23:00:00 16/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Back Care t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [00:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Braden Activity t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [00:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Propofol t0: [00:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip