This log is also available as text (225cc.txt) and as a (binary) annotation file (225cc.log).
Generated: Thursday, 23-Apr-2009 00:35:52 EDT
(All dates below are surrogates.)
pi: 4131606 hi: 29031 t0: [02:00:00 17/10/2015] tf: [09:00:00 22/10/2015] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 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: [01:00:00 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: [01:00:00 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: [01:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [01:00:00 17/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [01:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [01:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 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: [02:00:00 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: [02:00:00 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: [02:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [02:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Compliance (40-60ml) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:15:00 17/10/2015] el: 0 cg: RRT cu: CSRU st: NotStopd id: Airway Size t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:58:00 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: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 508 n1: 508 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:58:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Eye Opening t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Catheter Size t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LL Strength/Movement t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 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: [03:00:00 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: [03:00:00 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: [03:00:00 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: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [02:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Doppler v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 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: [04:00:00 17/10/2015] 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 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: [04:00:00 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: [04:00:00 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: [04:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 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: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: Tube Feeding t0: [04:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 80 vu: ml st: Stopped id: Stool Out Stool t0: [04:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 71 n1: 71 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:36:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 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: [05:00:00 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: [05:00:00 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: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:30:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [05:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 500.0ml t0: [04:00:00 17/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: WBC t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: Hematocrit t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.8 n1: 34.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 180 n1: 180 rs: Final st: NotStopd id: RBC t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd
id: PT t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd
id: BUN t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:21:00 17/10/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 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: [06:00:00 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: [06:00:00 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: [06:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: ETT Mark/Location t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: PEEP Set t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [06:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 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: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 17/10/2015] 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 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 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: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [08:00:00 17/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 17/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 500.0ml t0: [08:00:00 17/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [08:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Inspired Gas Temp t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 455 n1: 455 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [08:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4132089 hi: 29031 t0: [10:00:00 17/10/2015] tf: [09:00:00 18/10/2015] mn: Magnesium Sulfate 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 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: [09:00:00 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: [09:00:00 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: [09:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml st: Restart id: Urine Out Foley t0: [09:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest PT R/L t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Not Done st: NotStopd id: Code Status t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 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: [10:00:00 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: [10:00:00 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: [10:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 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: [11:00:00 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: [11:00:00 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: [11:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [11:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 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: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 460 n1: 460 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 17/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Chest PT R/L t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Andersen v2: Right Nare st: NotStopd id: Education Readiness t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Andersen v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 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: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 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: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [12:00:00 17/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [12:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: D5W 100.0ml t0: [12:00:00 17/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 500.0ml t0: [12:00:00 17/10/2015] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 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: [13:00:00 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: [13:00:00 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: [13:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [13:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 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: [14:00:00 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: [14:00:00 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: [14:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Urine Out Foley t0: [14:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4132851 hi: 29031 t0: [16:00:00 17/10/2015] tf: [15:00:00 18/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Chest PT R/L t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Not Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: HOB t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bed as Chair st: NotStopd id: Activity Tolerance t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Oral Care t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 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: [15:00:00 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: [15:00:00 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: [15:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Less Restrict Meas. t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Andersen v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Andersen v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bed as Chair st: NotStopd id: Activity Tolerance t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Dermagran st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 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: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 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: [16:00:00 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: [16:00:00 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: [16:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 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: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 17/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [16:00:00 17/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [16:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PO/Gastric In Total t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU cv: 150 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Inspired Gas Temp t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 475 n1: 475 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [16:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bed as Chair st: NotStopd id: Activity t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bed as Chair st: NotStopd id: Arterial BP t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 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: [17:00:00 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: [17:00:00 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: [17:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [17:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Service Type t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [18:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [18:00:00 17/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 17/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 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: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 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: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 17/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [20:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Compliance (40-60ml) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:00:00 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: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.8 n1: 10.8 u1: L/min st: NotStopd id: PEEP Set t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Plug st: NotStopd id: Sputum Source/Amt t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [21:00:00 17/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [21:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 4133696 hi: 29031 t0: [23:00:00 17/10/2015] tf: [22:00:00 18/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Precautions t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 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: [22:00:00 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: [22:00:00 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: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Chest PT R/L t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Oral Care t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 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: [23:00:00 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: [23:00:00 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: [23:00:00 17/10/2015] 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 17/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 17/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 17/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: IV Infusion In Total t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 970 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 1500 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 75 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 380 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1175 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: -45 cv: 325 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: -45 cv: 3935.54 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: -45 cv: -45 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/10/2015] el: 3 cg: RN cu: CSRU pv: 75 cv: 1175 ac: 24 ap: carryForward re: 0
id: Service Type t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Arterial BP t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 18/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [00:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: PO/Gastric In Total t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU cv: 270 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [23:00:00 17/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rhythm t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: Pupil Response R/L t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Color/Consist t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [00:00:00 18/10/2015] el: 1 cg: RN cu: CSRU v1: Done id: Fingerstick Glucose t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 18/10/2015] 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: [01:00:00 18/10/2015] 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: [01:00:00 18/10/2015] 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: [01:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 18/10/2015] 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: [02:00:00 18/10/2015] 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: [02:00:00 18/10/2015] 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: [02:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Sputum Color/Consist t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 18/10/2015] 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: [03:00:00 18/10/2015] 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: [03:00:00 18/10/2015] 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: [03:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 970 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 60 cv: 2025 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 785 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 1145 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 880 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 4815.54 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/10/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 1145 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 83.3333 n1: 83.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 1:2.5 st: NotStopd id: Airway Size t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 7.0 mm st: NotStopd id: Inspired Gas Temp t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 8.35 n1: 8.35 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: RAMP st: NotStopd
id: MDI #1 (Puff/Drug) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 18/10/2015] el: 0 cg: 4312 cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: WBC (4-11,000) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: WBC t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Hematocrit t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.7 n1: 35.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 201 n1: 201 rs: Final st: NotStopd id: RBC t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.89 n1: 3.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 18/10/2015] 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: [04:00:00 18/10/2015] 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: [04:30:00 18/10/2015] 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: [04:00:00 18/10/2015] 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: [04:30:00 18/10/2015] 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: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV#1 Tubing Change t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml st: Stopped id: Tube Feeding t0: [04:30:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml st: Restart id: Urine Out Foley t0: [04:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Sputum Color/Consist t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Sputum Source/Amt t0: [04:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: D5W 100.0ml t0: [04:30:00 18/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 18/10/2015] 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: [05:00:00 18/10/2015] 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: [05:00:00 18/10/2015] 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: [05:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [05:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: BUN t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:29:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 38.6667 n1: 38.6667 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: I:E Ratio t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 18/10/2015] 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: [06:00:00 18/10/2015] 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: [06:00:00 18/10/2015] 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: [06:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [06:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 18/10/2015] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 18/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 18/10/2015] 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: [07:00:00 18/10/2015] 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: [08:00:00 18/10/2015] 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: [07:00:00 18/10/2015] 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 18/10/2015] 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: [07:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 18/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [08:00:00 18/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [07:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [08:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
pi: 4134195 hi: 29031 t0: [14:00:00 18/10/2015] tf: [21:00:00 02/11/2015] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 38.6667 n1: 38.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 527 n1: 527 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:48:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: ETT Mark/Location t0: [09:00:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 22cm v2: Lip st: NotStopd
id: Service Type t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 18/10/2015] 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: [09:00:00 18/10/2015] 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: [09:00:00 18/10/2015] 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: [09:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [09:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Cuff Pressure-Airway t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:20:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd
id: Service Type t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 18/10/2015] 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: [09:45:00 18/10/2015] 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: [10:00:00 18/10/2015] 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: [10:15:00 18/10/2015] 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: [10:30:00 18/10/2015] 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: [10:45:00 18/10/2015] 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: [11:00:00 18/10/2015] 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: [09:45:00 18/10/2015] 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 18/10/2015] 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: [10:15:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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: [11:00:00 18/10/2015] 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: [09:45:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [09:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml st: Restart id: Urine Out Foley t0: [10:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [12:00:00 18/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 21cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Size t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Airway Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Intubation Date t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 18/10/2015] 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: [12:00:00 18/10/2015] 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: [12:00:00 18/10/2015] 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: [12:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Guaiac t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [11:15:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Ventilator Type t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Nutrition t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden Score t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd id: Braden SensoryPercep t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [11:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: D5W 100.0ml t0: [12:00:00 18/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml
id: Compliance (40-60ml) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 34.1176 n1: 34.1176 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 561 n1: 561 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:50:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 18/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 18/10/2015] 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: [13:00:00 18/10/2015] 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: [14:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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: [13:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [13:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [14:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Art.pH t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:22:00 18/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 18/10/2015] 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: [15:00:00 18/10/2015] 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 18/10/2015] 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: [15:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [15:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: ETT Mark/Location t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Ventilator Type t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: Compliance (40-60ml) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 41.4286 n1: 41.4286 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 621 n1: 621 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:40:00 18/10/2015] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Chest PT R/L t0: [14:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 18/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 21cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Family Communication t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 18/10/2015] 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: [16:00:00 18/10/2015] 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: [17:00:00 18/10/2015] 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 18/10/2015] 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: [17:00:00 18/10/2015] 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: [16:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Temp. Site t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [16:00:00 18/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 18/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [16:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [16:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [17:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fingerstick Glucose t0: [18:00:00 18/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 177 n1: 177 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 18/10/2015] 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: [18:00:00 18/10/2015] 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 18/10/2015] 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: [18:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Additional Gas (lpm) t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Additional Gas(Mask) t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Micro-Neb Treatment t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Delivery Device t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Delivery Device#2 t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) #2 t0: [19:00:00 18/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.25 n1: 36.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:45:00 18/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 18/10/2015] el: 1 ai: 209 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 18/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [20:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 18/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Height of Bed t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: Pupil Response R/L t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: Gastric Meds t0: [20:00:00 18/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml
id: Less Restrict Meas. t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] 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 18/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 18/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 18/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 18/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 19/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Gastric Meds t0: [00:00:00 19/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [00:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [00:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PO/Gastric In Total t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0
id: Art.pH t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:34:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/10/2015] 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: [01:00:00 19/10/2015] 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: [01:00:00 19/10/2015] 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: [01:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: Compliance (40-60ml) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 32.2222 n1: 32.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Pressure Support t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/10/2015] 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: [02:00:00 19/10/2015] 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: [03:00:00 19/10/2015] 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: [02:00:00 19/10/2015] 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: [03:00:00 19/10/2015] 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: [02:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [03:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [03:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 103.3 cv: 2103.1 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 103.3 cv: 2923.1 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU cv: 700 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 898 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 58.3 cv: 2025.1 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 58.3 cv: 6840.64 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 58.3 cv: 58.3 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/10/2015] el: 3 cg: RN cu: CSRU pv: 45 cv: 898 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 19/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/10/2015] 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: [04:00:00 19/10/2015] 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: [04:00:00 19/10/2015] 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: [04:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [02:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Temperature C (calc) t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: D5W 100.0ml t0: [04:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [04:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 30.5263 n1: 30.5263 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 587 n1: 587 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: WBC t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd id: Hematocrit t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.7 n1: 34.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.6 n1: 11.6 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 210 n1: 210 rs: Final st: NotStopd id: RBC t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.74 n1: 3.74 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 rs: Final st: NotStopd
id: PT t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: INR t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 rs: Final st: NotStopd
pi: 4136215 hi: 29031 t0: [06:00:00 19/10/2015] tf: [05:00:00 20/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phenobarbital t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22.4 n1: 22.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:41:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Service Type t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Chest PT R/L t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/10/2015] 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: [04:30:00 19/10/2015] 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: [05:00:00 19/10/2015] 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: [04:30:00 19/10/2015] 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 19/10/2015] 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: [04:30:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [05:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Less Restrict Meas. t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/10/2015] 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: [06:00:00 19/10/2015] 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: [06:00:00 19/10/2015] 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: [06:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [06:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 48.3333 n1: 48.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 2.3 n1: 2.3 st: NotStopd id: Airway Size t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 559 n1: 559 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 19/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/10/2015] 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: [08:00:00 19/10/2015] 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: [08:00:00 19/10/2015] 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: [08:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd id: Braden Activity t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 19/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [08:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [08:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [09:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Service Type t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 19/10/2015] 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: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/10/2015] 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: [09:00:00 19/10/2015] 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: [09:00:00 19/10/2015] 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: [09:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/10/2015] 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: [10:00:00 19/10/2015] 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: [11:00:00 19/10/2015] 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 19/10/2015] 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: [11:00:00 19/10/2015] 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: [10:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [10:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4136988 hi: 29031 t0: [12:00:00 19/10/2015] tf: [11:00:00 20/10/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4136989 hi: 29031 t0: [12:00:00 19/10/2015] tf: [11:00:00 20/10/2015] 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: Compliance (40-60ml) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 32.2222 n1: 32.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Arterial BP t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/10/2015] 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: [12:00:00 19/10/2015] 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: [12:00:00 19/10/2015] 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: [12:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Significant Events t0: [11:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: calprevflg t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [12:00:00 19/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [11:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/10/2015] 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: [13:00:00 19/10/2015] 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 19/10/2015] 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: [13:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Pain Present t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Cough Reflex t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 19/10/2015] 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: [14:00:00 19/10/2015] 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 19/10/2015] 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: [14:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4137539 hi: 29031 t0: [15:00:00 19/10/2015] tf: [14:00:00 20/10/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Color/Appear t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd
id: Potassium Phosphate io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CSRU am: 30 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CSRU ra: 83.3 ru: ml/hr
pi: 4137818 hi: 29031 t0: [16:00:00 19/10/2015] tf: [15:00:00 20/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4137819 hi: 29031 t0: [16:00:00 19/10/2015] tf: [15:00:00 20/10/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Chest PT R/L t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: HOB t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2InsertDate t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Skin Care t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Cap Change t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Cap Change t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Sputum Color/Consist t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: ImpSkin Character #1 t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Position Change t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Braden Activity t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Less Restrict Meas. t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#2 Type/Site t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: Impaired Skin Site#1 t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position Change t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 19/10/2015] 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: [15:30:00 19/10/2015] 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: [15:30:00 19/10/2015] 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: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Urine Source t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:30:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:30:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:30:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:30:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4137870 hi: 29031 t0: [17:00:00 19/10/2015] tf: [16:00:00 20/10/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 34.1176 n1: 34.1176 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 579 n1: 579 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 19/10/2015] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 19/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 19/10/2015] 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: [16:00:00 19/10/2015] 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 19/10/2015] 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: [16:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Less Restrict Meas. t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Follows Commands t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GI Intub #1/Site t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GU Catheter Size t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Oral Cavity t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Position t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/10/2015] 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: [17:00:00 19/10/2015] 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 19/10/2015] 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: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [17:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Less Restrict Meas. t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Radiologic Study t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: .9% Normal Saline 500.0ml t0: [17:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml nb: 1
id: Service Type t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/10/2015] 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: [18:00:00 19/10/2015] 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 19/10/2015] 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: [18:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Therapeutic Bed t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [18:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [18:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/10/2015] 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: [19:00:00 19/10/2015] 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 19/10/2015] 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: [19:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 500.0ml t0: [20:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 166.6 vu: ml id: Urine Out Foley t0: [20:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GU Catheter Size t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 32.2222 n1: 32.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 19/10/2015] 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 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.8 n1: 10.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 19/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: INV#1 Cap Change t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Therapeutic Bed t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [21:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [21:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [22:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [22:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Art.pH t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Lactic Acid t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 65 n1: 65 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [21:44:00 19/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd
pi: 4139371 hi: 29031 t0: [00:00:00 20/10/2015] tf: [23:00:00 20/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 19/10/2015] 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 19/10/2015] 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 19/10/2015] 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 19/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [23:00:00 19/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [23:00:00 19/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
pi: 4139409 hi: 29031 t0: [01:00:00 20/10/2015] tf: [00:00:00 21/10/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GU Catheter Size t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [22:00:00 19/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [00:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [00:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 20/10/2015] 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: [01:00:00 20/10/2015] 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: [01:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [01:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml
id: Urine Out Foley t0: [01:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 13 vu: ml
id: Compliance (40-60ml) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.25 n1: 36.25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 20/10/2015] 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: [02:00:00 20/10/2015] 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: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [02:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [02:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Less Restrict Meas. t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:30:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 500.0ml t0: [02:30:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 41.65 vu: ml id: Urine Out Foley t0: [02:30:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Less Restrict Meas. t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Readiness t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [22:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GU Catheter Size t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 20/10/2015] 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: [04:00:00 20/10/2015] 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: [03:00:00 20/10/2015] 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 20/10/2015] 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: [03:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [23:00:00 19/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Temp. Site t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 98.63 n1: 98.63 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 20/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [02:30:00 20/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 500.0ml t0: [04:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 124.95 vu: ml id: Urine Out Foley t0: [04:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: WBC (4-11,000) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: WBC t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Hematocrit t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.5 n1: 33.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 201 n1: 201 rs: Final st: NotStopd id: RBC t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.62 n1: 3.62 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.25 n1: 36.25 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 570 n1: 570 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: PT t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: INR t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 rs: Final st: NotStopd
id: BUN t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:34:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
pi: 4139685 hi: 29031 t0: [06:00:00 20/10/2015] tf: [05:00:00 21/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 20/10/2015] 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: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 20/10/2015] 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: [05:00:00 20/10/2015] 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: [05:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [05:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 83.3 vu: ml id: Urine Out Foley t0: [05:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: CVP t0: [04:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd
id: Service Type t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 20/10/2015] 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: [06:00:00 20/10/2015] 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: [06:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml
id: Urine Out Foley t0: [07:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: D5W 100.0ml t0: [07:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 27.619 n1: 27.619 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4139907 hi: 29031 t0: [09:00:00 20/10/2015] tf: [15:00:00 28/10/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4139908 hi: 29031 t0: [09:00:00 20/10/2015] tf: [15:00:00 28/10/2015] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 20/10/2015] 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: [08:00:00 20/10/2015] 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: [07:00:00 20/10/2015] 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 20/10/2015] 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: [07:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [07:00:00 20/10/2015] el: 1 ai: -1 cg: RN cu: CSRU vo: 166.6 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 20/10/2015] 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: [09:00:00 20/10/2015] 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: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 20/10/2015] 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 20/10/2015] 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: [10:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Less Restrict Meas. t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd
id: Service Type t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 20/10/2015] 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 20/10/2015] 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: [11:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Cuff Pressure-Airway t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Ventilator Mode t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 20/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 20/10/2015] 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: [12:00:00 20/10/2015] 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: [12:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.25 n1: 36.25 u1: ml/cmH st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 533 n1: 533 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 20/10/2015] 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: [14:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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: [13:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [14:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4141090 hi: 29031 t0: [15:00:00 20/10/2015] tf: [14:00:00 21/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PEEP Set t0: [14:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd
id: Art.pH t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:37:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 20/10/2015] 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 20/10/2015] 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: [15:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [15:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 32.2222 n1: 32.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Firm st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 20/10/2015] 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 20/10/2015] 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: [16:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [16:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 270 vu: ml
id: Service Type t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 20/10/2015] 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 20/10/2015] 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: [17:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 275 vu: ml
id: Less Restrict Meas. t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 20/10/2015] 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 20/10/2015] 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: [18:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [18:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Pain Present t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 20/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 20/10/2015] 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: [20:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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: [19:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 20/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [20:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [20:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Sputum Color/Consist t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 34.1176 n1: 34.1176 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 20/10/2015] 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 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 545 n1: 545 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 20/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: BUN t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 129 n1: 129 rs: Final st: NotStopd id: Potassium t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Carbon Dioxide t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 129 n1: 129 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [19:23:00 20/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
pi: 4142479 hi: 29031 t0: [22:00:00 20/10/2015] tf: [21:00:00 21/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4142480 hi: 29031 t0: [22:00:00 20/10/2015] tf: [21:00:00 21/10/2015] 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: 4142481 hi: 29031 t0: [22:00:00 20/10/2015] tf: [21:00:00 21/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [21:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: HOB t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Skin Care t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: INV#1 Cap Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Turn t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [22:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [22:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 20/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 240 vu: ml id: Tube Feeding t0: [22:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PO/Gastric In Total t0: [23:00:00 20/10/2015] el: 3 cg: RN cu: CSRU cv: 290 ac: 24 ap: none re: 0
pi: 4142646 hi: 29031 t0: [23:00:00 20/10/2015] tf: [22:00:00 21/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 20/10/2015] 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 20/10/2015] 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 20/10/2015] 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 20/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [23:00:00 20/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 20/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [23:00:00 20/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 20/10/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 20/10/2015] el: 3 cg: RN cu: CSRU pv: 55 cv: 550 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/10/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 1923 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/10/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 1923 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 27.619 n1: 27.619 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 563 n1: 563 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 21/10/2015] el: 0 cg: CoWker cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Urine Out Foley t0: [00:00:00 21/10/2015] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml
id: ETT Position Change t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 195 n1: 195 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 21/10/2015] 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 21/10/2015] 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 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Temp. Site t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4143045 hi: 29031 t0: [02:00:00 21/10/2015] tf: [01:00:00 22/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4143046 hi: 29031 t0: [02:00:00 21/10/2015] tf: [01:00:00 22/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Potassium t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:03:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 21/10/2015] 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: [01:00:00 21/10/2015] 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: [01:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [01:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [01:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Less Restrict Meas. t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: ETT Mark/Location t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: GI#1 Intub Site t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Airway Size t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RL Strength/Movement t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Rec. Breath Pressure t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 st: NotStopd id: Rec.Breath Time(sec) t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 st: NotStopd id: Recruit Breath t0: [00:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU st: NotStopd id: Recruit Breath t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Other st: NotStopd id: Removed x 5 Mins t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [01:36:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: NBP t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:30:00 21/10/2015] 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: [00:30:00 21/10/2015] 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: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: calprevflg t0: [00:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [23:00:00 20/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: ETT Mark/Location t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Resp Rate (Spont) t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 634 n1: 634 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:46:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: IV Infusion In Total t0: [23:00:00 20/10/2015] el: 3 cg: RRT cu: CSRU pv: 60 cv: 1616.4 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/10/2015] el: 3 cg: RRT cu: CSRU pv: 115 cv: 2456.4 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/10/2015] el: 3 cg: RRT cu: CSRU pv: 75 cv: 533.4 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 20/10/2015] el: 3 cg: RRT cu: CSRU pv: 75 cv: 7374.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/10/2015] el: 3 cg: RRT cu: CSRU pv: 75 cv: 75 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Oral Care t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 21/10/2015] 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: [02:00:00 21/10/2015] 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: [02:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [22:00:00 20/10/2015] el: 1 cg: RN cu: CSRU v1: done
id: D5W 100.0ml t0: [02:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [03:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:30:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Tube Feeding t0: [02:30:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 82.5 vu: ml id: Tube Feeding t0: [03:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 27.5 vu: ml id: Urine Out Foley t0: [02:30:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: IV Infusion In Total t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 990 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 2175 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU cv: 1045 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU cv: 2072 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 103 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 7477.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU cv: 2072 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 21/10/2015] 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: [03:00:00 21/10/2015] 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: [03:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [03:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [02:53:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [04:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 54.5455 n1: 54.5455 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 21cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 632 n1: 632 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 21/10/2015] 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: [05:00:00 21/10/2015] 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: [04:00:00 21/10/2015] 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 21/10/2015] 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: [04:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [05:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Urine Out Foley t0: [06:00:00 21/10/2015] el: 1 cg: CoWker cu: CSRU vo: 35 vu: ml
id: Fingerstick Glucose t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Arterial BP t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 21/10/2015] 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: [06:00:00 21/10/2015] 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: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Right Arm st: NotStopd id: Restraint Type t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [06:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: PEEP Set t0: [03:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd
id: Service Type t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 21/10/2015] 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: [07:00:00 21/10/2015] 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: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [07:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [07:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [07:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: BUN t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: WBC t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 rs: Final st: NotStopd id: Hematocrit t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 236 n1: 236 rs: Final st: NotStopd id: RBC t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.88 n1: 3.88 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:54:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 228 n1: 228 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 217 n1: 217 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: Arterial BP t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 236 n1: 236 u1: mmHg v2: 104 n2: 104 u2: mmHg st: NotStopd id: Arterial BP t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 21/10/2015] 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: [08:15:00 21/10/2015] 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: [08:17:00 21/10/2015] 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: [08:20:00 21/10/2015] 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: [08:25:00 21/10/2015] 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: [08:30:00 21/10/2015] 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: [08:35:00 21/10/2015] 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: [08:00:00 21/10/2015] 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: [08:15:00 21/10/2015] 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: [08:17:00 21/10/2015] 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: [08:20:00 21/10/2015] 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: [08:25:00 21/10/2015] 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: [08:30:00 21/10/2015] 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: [08:35:00 21/10/2015] 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: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:15:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:17:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:20:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:25:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:35:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 66.6667 n1: 66.6667 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17.3 n1: 17.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 617 n1: 617 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 173 n1: 173 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:48:00 21/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: Pupil Response R/L t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd id: Braden Activity t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Position Change t0: [08:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 21/10/2015] 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: [09:00:00 21/10/2015] 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: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:45:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Radiologic Study t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:30:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [09:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:30:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Gastric Meds t0: [09:30:00 21/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml
id: D5W 100.0ml t0: [09:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Less Restrict Meas. t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 21/10/2015] 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 21/10/2015] 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: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [10:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
pi: 4144165 hi: 29031 t0: [12:00:00 21/10/2015] tf: [13:00:00 21/10/2015] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Service Type t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 21/10/2015] 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 21/10/2015] 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: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: Fingerstick Glucose t0: [12:00:00 21/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.37 n1: 9.37 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 590 n1: 590 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 21/10/2015] 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: [12:00:00 21/10/2015] 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: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd id: Braden Activity t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [12:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [12:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4144504 hi: 29031 t0: [14:00:00 21/10/2015] tf: [13:00:00 22/10/2015] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4144505 hi: 29031 t0: [14:00:00 21/10/2015] tf: [13:00:00 22/10/2015] mn: Propofol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4144549 hi: 29031 t0: [08:00:00 22/10/2015] tf: [14:00:00 22/10/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4144642 hi: 29031 t0: [14:00:00 21/10/2015] tf: [13:00:00 22/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4144676 hi: 29031 t0: [14:00:00 21/10/2015] tf: [13:00:00 23/10/2015] mn: Naloxone HCl pt: Unit Dose st: Discontinued rt: PO fr: Q8H ds: 14, 22, 6 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 21/10/2015] 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: [14:00:00 21/10/2015] 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 21/10/2015] 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 21/10/2015] 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: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [14:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 21/10/2015] 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 21/10/2015] 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: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [15:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 425 vu: ml
id: Less Restrict Meas. t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GU Catheter Size t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LL Strength/Movement t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 21/10/2015] 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 21/10/2015] 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: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd id: Braden Activity t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 21/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [16:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [16:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: I:E Ratio t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 21/10/2015] 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 21/10/2015] 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: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Less Restrict Meas. t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 21/10/2015] 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 21/10/2015] 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: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: calprevflg t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [18:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Fingerstick Glucose t0: [18:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Tank A psi. t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 562 n1: 562 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: SQUARE st: NotStopd
id: NBP t0: [20:00:00 21/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: NBP Mean t0: [20:00:00 21/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: HOB Measurement t0: [20:00:00 21/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 21/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Eye Opening t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 21/10/2015] 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: [19:00:00 21/10/2015] 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: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [20:00:00 21/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [19:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [20:00:00 21/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped
id: Service Type t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/10/2015] 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 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 21/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [21:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: PO/Gastric In Total t0: [23:00:00 21/10/2015] el: 3 cg: RN cu: CSRU cv: 140 ac: 24 ap: none re: 0
id: Service Type t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/10/2015] 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 21/10/2015] 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 21/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 21/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Compliance (40-60ml) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 533 n1: 533 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:59:00 21/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 21/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/10/2015] 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: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/10/2015] 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: [23:00:00 21/10/2015] 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 22/10/2015] 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 21/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: INV#1 Cap Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: calprevflg t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 21/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 22/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [00:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU cv: 160 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 22/10/2015] 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: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4146828 hi: 29031 t0: [04:00:00 22/10/2015] tf: [03:00:00 23/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4146866 hi: 29031 t0: [04:00:00 22/10/2015] tf: [03:00:00 23/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE MR1 ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: WBC t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Hematocrit t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.9 n1: 35.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.3 n1: 12.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 231 n1: 231 rs: Final st: NotStopd id: RBC t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.93 n1: 3.93 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 22/10/2015] 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: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/10/2015] 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: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/10/2015] 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: [03:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: calprevflg t0: [02:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [02:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: partial
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [03:30:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: BUN t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [04:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Eye Opening t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 22/10/2015] 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: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [04:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: PT t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: INR t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 31.5 n1: 31.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: PTT(22-35) t0: [02:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 31.5 n1: 31.5 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 567 n1: 567 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 22/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 22/10/2015] 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: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: calprevflg t0: [05:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Art.pH t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:15:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 22/10/2015] 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: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 225 vu: ml
id: Service Type t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 22/10/2015] 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: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 95 vu: ml
id: Potassium t0: [06:45:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:45:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 575 n1: 575 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: RAMP st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/10/2015] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5W 500.0ml t0: [08:00:00 22/10/2015] el: 1 ai: 105 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Cough Reflex t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 22/10/2015] 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: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: INV#1 Cap Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [08:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Activity t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [08:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Braden Activity t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:45:00 22/10/2015] 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: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 22/10/2015] 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: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [08:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 22/10/2015] 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: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4147489 hi: 29031 t0: [10:00:00 22/10/2015] tf: [09:00:00 22/10/2015] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4147490 hi: 29031 t0: [10:00:00 22/10/2015] tf: [09:00:00 23/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4147491 hi: 29031 t0: [10:00:00 22/10/2015] tf: [01:00:00 24/10/2015] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4147549 hi: 29031 t0: [10:00:00 22/10/2015] tf: [16:00:00 26/10/2015] mn: Aspirin pt: Unit Dose st: Discontinued rt: PR fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4147550 hi: 29031 t0: [10:00:00 22/10/2015] tf: [09:00:00 23/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Po Intake t0: [10:00:00 22/10/2015] el: 1 ai: 103 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 22/10/2015] 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: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [08:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 22/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [10:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Eye Opening t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: LL Strength/Movement t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 22/10/2015] 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: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [11:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [12:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 28.5714 n1: 28.5714 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Assistance Device t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 22/10/2015] 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: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/10/2015] 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: [14:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 38 vu: ml
id: Position t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Service Type t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Arterial BP Mean t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Precautions t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:45:00 22/10/2015] 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: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:45:00 22/10/2015] 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: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:45:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Cuff Pressure-Airway t0: [15:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Position Change t0: [15:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Oral Cavity t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 22/10/2015] 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: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/10/2015] 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: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/10/2015] 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: [15:30:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Urine Source t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Bladder Pressure t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Urine Color/Appear t0: [15:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 22/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 22/10/2015] 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: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Skin Integrity t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [12:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: TF Residual t0: [16:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [16:00:00 22/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 578 n1: 578 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 22/10/2015] el: 0 cg: SRT cu: CSRU v1: RAMP st: NotStopd
id: .9% Normal Saline 500.0ml t0: [17:00:00 22/10/2015] el: 1 ai: -1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP Mean t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 22/10/2015] 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: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:24:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
pi: 4149583 hi: 29031 t0: [19:00:00 22/10/2015] tf: [18:00:00 23/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Potassium t0: [17:16:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:16:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Service Type t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 22/10/2015] 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: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [18:45:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent st: NotStopd id: GU Catheter Size t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 19 n2: 19 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 16 n2: 16 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 27 vu: ml
id: Trach Insert Date t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Cuff Leak t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Trach Cuff/Fenestra t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Trach Size t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tracheostomy Cuff t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tracheostomy Type t0: [20:00:00 22/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Compliance (40-60ml) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 5.5 n1: 5.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 582 n1: 582 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: HOB t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [20:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Service Type t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Art.pH t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:29:00 22/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/10/2015] 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 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4150363 hi: 29031 t0: [23:00:00 22/10/2015] tf: [12:00:00 25/10/2015] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 23 dn: 1 di: Ongoing xu: Enter on Label pi: 4150373 hi: 29031 t0: [22:00:00 22/10/2015] tf: [09:00:00 05/11/2015] mn: Phenobarbital pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4150374 hi: 29031 t0: [23:00:00 22/10/2015] tf: [23:00:00 05/11/2015] mn: Nystatin Oral Suspension pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:10:00 22/10/2015] 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: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:10:00 22/10/2015] 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: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:10:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Type t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Respiratory Rate t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:30:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: LU Strength/Movement t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/10/2015] 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 22/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [21:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Verbal Response t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 22/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 22/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 22/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: IV Infusion In Total t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 990 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 1150 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1375 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: -30 cv: -225 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: -30 cv: 7252.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: -30 cv: -30 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/10/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1375 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [22:00:00 22/10/2015] el: 0 cg: RRt cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Temp. Site t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Heart Rate t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP Mean t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 23/10/2015] 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: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [01:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: IV Infusion In Total t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 110 cv: 690 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 130 cv: 1040 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU cv: 434 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 130 cv: -1394 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 130 cv: 5858.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 130 cv: 130 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU cv: 2434 ac: 24 ap: none re: 0
id: Art.pH t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:18:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent st: NotStopd id: GU Catheter Size t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: Oral Cavity t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Arterial BP t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 23/10/2015] 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: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Stool Color/Consist t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Urine Color/Appear t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: HOB t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [02:00:00 23/10/2015] el: 1 cg: RN cu: CSRU v1: done
id: Service Type t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 23/10/2015] 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: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [03:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Arterial BP t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 23/10/2015] 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: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml
id: Circulation/SkinInt t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 605 n1: 605 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 23/10/2015] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 23/10/2015] 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: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 23/10/2015] 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: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 35.6111 n1: 35.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 96.1 n1: 96.1 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [20:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [21:00:00 22/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Stool Out Stool t0: [06:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 1100 vu: ml id: Urine Out Foley t0: [04:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [06:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PT t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.5 n1: 35.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35.5 n1: 35.5 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: WBC t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Hematocrit t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 203 n1: 203 rs: Final st: NotStopd id: RBC t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.53 n1: 3.53 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 598 n1: 598 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Type t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [06:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 23/10/2015] 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: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] 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 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:05:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:05:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Gastric Meds t0: [08:00:00 23/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: BUN t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:21:00 23/10/2015] 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: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:21:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 23/10/2015] 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: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/10/2015] 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: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: calprevflg t0: [11:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [11:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Type t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/10/2015] 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: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 23/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 42 vu: ml
pi: 4152037 hi: 29031 t0: [20:00:00 23/10/2015] tf: [23:00:00 05/11/2015] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4152049 hi: 29031 t0: [14:00:00 23/10/2015] tf: [13:00:00 24/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/10/2015] 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: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Art.pH t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Potassium t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
id: PEEP Set t0: [13:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/10/2015] 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: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [14:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4152102 hi: 29031 t0: [15:00:00 23/10/2015] tf: [14:00:00 24/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:13:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: HOB t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/10/2015] 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: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Back Care t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: D5W 100.0ml t0: [15:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [15:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Precautions t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:50:00 23/10/2015] 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: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:40:00 23/10/2015] 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: [15:45:00 23/10/2015] 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: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:40:00 23/10/2015] 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: [15:45:00 23/10/2015] 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: [15:50:00 23/10/2015] 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: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:40:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:45:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:50:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Firm Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Type t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/10/2015] 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: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 23/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [16:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 4152681 hi: 29031 t0: [17:00:00 23/10/2015] tf: [16:00:00 24/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4152794 hi: 29031 t0: [20:00:00 23/10/2015] tf: [22:00:00 24/10/2015] mn: Mucinex pt: Unit Dose st: Discontinued rt: ORAL fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Stool Out Stool t0: [15:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: I:E Ratio t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 520 n1: 520 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/10/2015] 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: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Potassium t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 60 n1: 60 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:01:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/10/2015] 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: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: HOB t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: Stool Out Stool t0: [18:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Stool Out Total t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU cv: 2000 ac: 24 ap: none re: 0
id: Art.pH t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:19:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Potassium t0: [18:03:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:03:00 23/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
pi: 4153635 hi: 29031 t0: [21:00:00 23/10/2015] tf: [17:00:00 24/10/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 40 mEq Potassium Chloride / 1000 mL D5 1/2 NS Continuous at 100 ml/hr for 2000 ml ir: 100 it: C ss: N dt: 20 di: Hours xu: Enter on Label
id: Compliance (40-60ml) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 565 n1: 565 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 23/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pain Management t0: [20:00:00 23/10/2015] el: 1 cg: RN cu: CSRU v1: IV Push v2: Repositioned st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/10/2015] 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: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/10/2015] 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: [20:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 23/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 120 vu: ml id: GT Flush t0: [20:00:00 23/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: PO/Gastric In Total t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU cv: 220 ac: 24 ap: none re: 0
id: KCL io: D5/.45NS 1000.0ml el: 300 cg: RN cu: CSRU am: 40 du: mEq rt: Intravenous Push
io: D5/.45NS 1000.0ml el: 3 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: Service Type t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [21:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [21:30:00 23/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vu: ml nb: 1 id: Tube Feeding t0: [21:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [22:00:00 23/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [22:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 23/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/10/2015] 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 23/10/2015] 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 23/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [23:00:00 23/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [23:00:00 23/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml
id: Tube Feeds In Total t0: [23:00:00 23/10/2015] el: 3 cg: RN cu: CSRU pv: 20 cv: 130 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [23:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:30:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Pain Present t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 23/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [00:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [00:00:00 24/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [00:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Less Restrict Meas. t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: Cough Reflex t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: Motor Response t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Position t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Pupil Response R/L t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate Set t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 st: NotStopd id: Restraint Type t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Turn t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Waveform-Vent t0: [00:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: Behavior t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: PO/Gastric In Total t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 24/10/2015] 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: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [01:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [01:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml
id: Sputum Color/Consist t0: [02:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 24/10/2015] 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: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 23/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [02:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [02:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 24/10/2015] 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: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [03:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [03:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 2160 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 2735 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 395 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 2100 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: -365 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 5493.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 3100 ac: 24 ap: none re: 0
id: Art.pH t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:44:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: WBC t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Hematocrit t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32.7 n1: 32.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 214 n1: 214 rs: Final st: NotStopd id: RBC t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.55 n1: 3.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: FiO2> 60% st: NotStopd id: ETT Mark/Location t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 623 n1: 623 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:32:00 24/10/2015] 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: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:32:00 24/10/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [04:45:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/10/2015] el: 0 cg: RRT 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 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/10/2015] el: 2 ai: 107 cg: RRT cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [04:00:00 24/10/2015] el: 3 ai: 354 cg: RRT cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [04:00:00 24/10/2015] el: 1 ai: 431 cg: RRT cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 24/10/2015] el: 1 cg: RRT cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Pain Location t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Position t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 24/10/2015] 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: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [05:00:00 24/10/2015] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [04:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [05:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [05:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [05:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Stool Out Stool t0: [05:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [05:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Sputum Color/Consist t0: [05:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: ETT Mark/Location t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: SpO2 t0: [05:30:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd
id: Service Type t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 24/10/2015] 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: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [06:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [06:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [06:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Less Restrict Meas. t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd
id: HOB t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:30:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
pi: 4154445 hi: 29031 t0: [08:00:00 24/10/2015] tf: [07:00:00 25/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4154446 hi: 29031 t0: [08:00:00 24/10/2015] tf: [07:00:00 25/10/2015] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 24/10/2015] 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: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5/.45NS 1000.0ml t0: [08:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 200 vu: ml id: Tube Feeding t0: [08:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Compliance (40-60ml) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 595 n1: 595 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 24/10/2015] 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: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/10/2015] 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: [10:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [09:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 24/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [09:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [10:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Less Restrict Meas. t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GU Catheter Size t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 24/10/2015] 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: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [10:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [11:00:00 24/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [11:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [12:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [12:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Compliance (40-60ml) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 568 n1: 568 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:10:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 24/10/2015] el: 0 cg: CoWker cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 24/10/2015] 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: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/10/2015] 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 24/10/2015] 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: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/10/2015] 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: [14:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [13:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [14:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: D5/.45NS 1000.0ml t0: [15:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [13:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [15:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Temp. Site t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Family Communication t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 24/10/2015] 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: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [14:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [16:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Skin Integrity t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Braden Activity t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 24/10/2015] 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: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [17:00:00 24/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vo: 100 vu: ml st: Stopped id: Urine Out Foley t0: [17:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Tube Feeding t0: [17:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 559 n1: 559 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 24/10/2015] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
io: .9% Normal Saline 1000.0ml el: 3 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Less Restrict Meas. t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 24/10/2015] 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: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [17:00:00 24/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 120 vu: ml id: Tube Feeding t0: [18:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Stool Out Stool t0: [18:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 24/10/2015] el: 3 cg: RN cu: CSRU cv: 1000 ac: 24 ap: none re: 0
pi: 4156104 hi: 29031 t0: [20:00:00 24/10/2015] tf: [19:00:00 25/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 24/10/2015] 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: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Pupil Response R/L t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [20:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 60 vu: ml
id: Urine Out Foley t0: [20:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 568 n1: 568 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 24/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 24/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [21:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 375 vu: ml
pi: 4156329 hi: 29031 t0: [23:00:00 24/10/2015] tf: [08:00:00 04/11/2015] mn: Guaifenesin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q4H ds: 23, 3, 7, 11, 15, 19 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4156330 hi: 29031 t0: [23:00:00 24/10/2015] tf: [22:00:00 25/10/2015] mn: Zolpidem Tartrate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4156372 hi: 29031 t0: [23:00:00 24/10/2015] tf: [22:00:00 25/10/2015] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 24/10/2015] 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 24/10/2015] 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 24/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 24/10/2015] el: 1 cg: RN cu: CSRU vo: 750 vu: ml
id: Less Restrict Meas. t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 24/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/10/2015] 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: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/10/2015] 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: [23:00:00 24/10/2015] 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 25/10/2015] 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 24/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 24/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 105 vu: ml id: Urine Out Foley t0: [00:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 700 vu: ml
id: Compliance (40-60ml) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 562 n1: 562 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 rs: Manual st: NotStopd
pi: 4156676 hi: 29031 t0: [02:00:00 25/10/2015] tf: [01:00:00 26/10/2015] mn: Haloperidol pt: Unit Dose st: Expired rt: IM fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4156677 hi: 29031 t0: [02:00:00 25/10/2015] tf: [05:00:00 25/10/2015] mn: Zolpidem Tartrate pt: Unit Dose st: Expired rt: PO fr: HS:PRN dt: 1 di: Doses xv: 36 xu: Hours pi: 4156678 hi: 29031 t0: [02:00:00 25/10/2015] tf: [05:00:00 25/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: Q6H:PRN dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 25/10/2015] 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: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 25/10/2015] 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: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [01:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [02:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Service Type t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 25/10/2015] 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: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [03:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [03:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LU Strength/Movement t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 25/10/2015] 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: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Urine Source t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: WBC (4-11,000) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: WBC t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd id: Hematocrit t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.8 n1: 33.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.8 n1: 11.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 221 n1: 221 rs: Final st: NotStopd id: RBC t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.65 n1: 3.65 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 82.0189 n1: 82.0189 u1: units st: NotStopd id: Cuff Pressure-Airway t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 82.0189 n1: 82.0189 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.317 n1: 0.317 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 612 n1: 612 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: FiO2 Set t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: Apnea Time Interval t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Tidal Volume (Spont) t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 440 n1: 440 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:40:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: BUN t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Phosphorous t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:58:00 25/10/2015] 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: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:58:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 25/10/2015] 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: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [04:00:00 25/10/2015] el: 1 cg: RN cu: CSRU v1: done
id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Art.pH t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 71 n1: 71 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:27:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 25/10/2015] 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: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml
pi: 4156942 hi: 29031 t0: [07:00:00 25/10/2015] tf: [06:00:00 26/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4156943 hi: 29031 t0: [07:00:00 25/10/2015] tf: [06:00:00 26/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Position Change t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Reason For Restraint t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd
id: Stool Out Stool t0: [06:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [06:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: D5W 100.0ml t0: [07:00:00 25/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 23 vu: ml
id: Less Restrict Meas. t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 112 n2: 112 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 25/10/2015] 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: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 25/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: ETT Mark/Location t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 415 n1: 415 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:45:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 25/10/2015] 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: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/10/2015] 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: [10:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [10:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [09:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 25/10/2015] 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: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [11:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml
pi: 4157570 hi: 29031 t0: [10:00:00 25/10/2015] tf: [09:00:00 28/10/2015] mn: Lansoprazole Oral Suspension pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4157575 hi: 29031 t0: [13:00:00 25/10/2015] tf: [12:00:00 26/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [09:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 104 n2: 104 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Position t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 25/10/2015] 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: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [10:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 25/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [12:00:00 25/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 120 vu: ml id: Tube Feeding t0: [12:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [12:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: ETT Mark/Location t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 408 n1: 408 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:50:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 25/10/2015] 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: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/10/2015] 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: [14:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [14:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: ETT Mark/Location t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Ve High t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 425 n1: 425 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:30:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Cuff Pressure-Airway t0: [16:00:00 25/10/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 25/10/2015] 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: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/10/2015] 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: [16:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [14:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [16:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [15:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [16:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Service Type t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 25/10/2015] 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: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [17:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [17:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Service Type t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 25/10/2015] 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: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 25/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [18:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Stool Out Stool t0: [18:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [18:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 275 vu: ml
id: Stool Out Total t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU cv: 550 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 rs: Manual st: NotStopd
id: BUN t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:59:00 25/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Type t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 25/10/2015] 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: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/10/2015] 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: [20:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 25/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 25/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 25/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [20:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [20:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: PO/Gastric In Total t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU cv: 380 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 193 n1: 193 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 4158484 hi: 29031 t0: [22:00:00 25/10/2015] tf: [21:00:00 26/10/2015] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: 383 n1: 383 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Tube Feeding t0: [22:00:00 25/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Tube Feeds In Total t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU cv: 1135 ac: 24 ap: none re: 0
id: Service Type t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 118 n2: 118 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Precautions t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:05:00 25/10/2015] 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: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:05:00 25/10/2015] 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: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: calprevflg t0: [22:05:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Sputum Color/Consist t0: [22:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 25/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/10/2015] 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 25/10/2015] 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 25/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: calprevflg t0: [23:00:00 25/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:00:00 25/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 25/10/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: IV Infusion In Total t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: 70 cv: 720 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: 70 cv: 2235 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 3728 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: -70 cv: -2043 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: -70 cv: 3450.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: -70 cv: -70 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/10/2015] el: 3 cg: RN cu: CSRU pv: 140 cv: 4278 ac: 24 ap: none re: 0
pi: 4158734 hi: 29031 t0: [01:00:00 26/10/2015] tf: [00:00:00 27/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4158735 hi: 29031 t0: [01:00:00 26/10/2015] tf: [00:00:00 27/10/2015] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4158736 hi: 29031 t0: [01:00:00 26/10/2015] tf: [23:00:00 05/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 417 n1: 417 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Catheter Size t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: LL Strength/Movement t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Type t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/10/2015] 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 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [00:00:00 26/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 180 vu: ml id: Tube Feeding t0: [00:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml st: Restart id: Urine Out Foley t0: [00:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU cv: 490 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 26/10/2015] 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: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/10/2015] 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 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 26/10/2015] 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: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/10/2015] 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 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [02:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [02:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 455 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 65 cv: 1852.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 55 cv: 907.5 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 300 cv: 1969 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: -235 cv: -116.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: -235 cv: 3333.54 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: -235 cv: -235 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/10/2015] el: 3 cg: RN cu: CSRU pv: 300 cv: 1969 ac: 24 ap: none re: 0
id: Art.pH t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:12:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Type t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Previous Weight t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 26/10/2015] 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: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/10/2015] 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: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/10/2015] 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 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: INV#1 Cap Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Weight Change t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Behavior t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [04:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [04:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [04:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [04:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: RSBI (<100) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 101.818 n1: 101.818 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 101.818 n1: 101.818 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.275 n1: 0.275 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 410 n1: 410 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: WBC t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: Hematocrit t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.2 n1: 33.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 201 n1: 201 rs: Final st: NotStopd id: RBC t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 26/10/2015] 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: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: BUN t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phenobarbital t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:01:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 61.6667 n1: 61.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 26/10/2015] 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: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [06:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [06:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [06:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [06:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 53.3333 n1: 53.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 26/10/2015] 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: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 350 n1: 350 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Cuff Pressure-Airway t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: Sputum Color/Consist t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 26/10/2015] 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: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [08:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [08:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Minute Volume(Obser) t0: [09:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 325 n1: 325 u1: ml/B st: NotStopd
id: Service Type t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/10/2015] 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: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [09:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/10/2015] 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: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [10:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [10:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Art.pH t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:24:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 405 n1: 405 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/10/2015] 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: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/10/2015] 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: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 47 vu: ml
id: Service Type t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/10/2015] 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: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 26/10/2015] 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: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:30:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: ETT Mark/Location t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Size t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: PEEP Set t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [13:15:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/10/2015] 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: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [14:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml id: Urine Out Foley t0: [14:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: NBP t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/10/2015] 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: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [15:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 32 vu: ml
id: FiO2 Set t0: [15:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
pi: 4160925 hi: 29031 t0: [10:00:00 26/10/2015] tf: [14:00:00 29/10/2015] mn: Aspirin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 21 n2: 21 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/10/2015] 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: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [16:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/10/2015] 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: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
pi: 4161243 hi: 29031 t0: [18:00:00 26/10/2015] tf: [17:00:00 27/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 74.6667 n1: 74.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/10/2015] 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: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [18:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Gastric Meds t0: [18:00:00 26/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 70 vu: ml
id: Urine Out Foley t0: [18:30:00 26/10/2015] el: 1 cg: RN cu: CSRU vu: ml
id: Less Restrict Meas. t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 124 n2: 124 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/10/2015] 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: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/10/2015] 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: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 26/10/2015] 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 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [20:00:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 550 vu: ml
id: Pain Present t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 26/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: HOB t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Skin Care t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Cap Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:30:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Tube Feeding t0: [20:30:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 27.5 vu: ml id: Urine Out Foley t0: [20:30:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: ETT Mark/Location t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.1 n1: 12.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: 504 n1: 504 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 26/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4161992 hi: 29031 t0: [22:00:00 26/10/2015] tf: [21:00:00 27/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:30:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:30:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [21:30:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Less Restrict Meas. t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/10/2015] 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 26/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [22:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:30:00 26/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:30:00 26/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:30:00 26/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
pi: 4162192 hi: 29031 t0: [00:00:00 27/10/2015] tf: [23:00:00 27/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [00:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Site Date t0: [00:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [00:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [00:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [00:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4162330 hi: 29031 t0: [01:00:00 27/10/2015] tf: [00:00:00 28/10/2015] 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: Less Restrict Meas. t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 27/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 D/C Date t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/10/2015] 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: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/10/2015] 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: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/10/2015] 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 26/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 26/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 27/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [00:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: BUN t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Creatinine t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Potassium t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: BUN (6-20) t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:20:00 26/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd
id: ETT Mark/Location t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 427 n1: 427 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: D5W 100.0ml t0: [00:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [00:30:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:30:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:30:00 27/10/2015] el: 1 cg: RN cu: CSRU vu: ml
pi: 4162379 hi: 29031 t0: [02:00:00 27/10/2015] tf: [10:00:00 27/10/2015] mn: Levofloxacin pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4162380 hi: 29031 t0: [08:00:00 27/10/2015] tf: [10:00:00 28/10/2015] 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
id: Service Type t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/10/2015] 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: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [01:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:30:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:30:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 27/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 82.5 vu: ml st: Stopped id: Tube Feeding t0: [00:30:00 27/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [01:30:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Tube Feeds In Total t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 82.5 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [01:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/10/2015] 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: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [02:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:30:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:30:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:30:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Pressure Support t0: [03:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 27/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/10/2015] 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: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/10/2015] 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: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/10/2015] 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 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: D5W 100.0ml t0: [04:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [04:00:00 27/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml
id: WBC (4-11,000) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: WBC t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Hematocrit t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37.5 n1: 37.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 241 n1: 241 rs: Final st: NotStopd id: RBC t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.08 n1: 4.08 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd
id: PT t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: INR t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: RSBI (<100) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.31 n1: 0.31 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 402 n1: 402 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Cuff Pressure-Airway t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd
id: FiO2 Set t0: [04:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: BUN t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:21:00 27/10/2015] 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: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Phenobarbital t0: [03:21:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20.2 n1: 20.2 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/10/2015] 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: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/10/2015] 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: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/10/2015] 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 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Support Systems t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [05:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: HOB t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: Activity t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 20 n2: 20 st: NotStopd id: Skin Care t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2 Cap Change t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Turn t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [08:00:00 27/10/2015] el: 1 cg: RN cu: CSRU v1: done.
id: ETT Mark/Location t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 469 n1: 469 u1: ml/B st: NotStopd id: Ventilator Type t0: [07:40:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4163048 hi: 29031 t0: [14:00:00 27/10/2015] tf: [14:00:00 28/10/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Drainage st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/10/2015] 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: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/10/2015] 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: [08:15:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/10/2015] 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: [08:15:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Support Systems t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 27/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: PO/Gastric In Total t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 120 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:15:00 27/10/2015] 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: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/10/2015] 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: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/10/2015] 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: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Radiologic Study t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 27/10/2015] 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: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/10/2015] 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: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/10/2015] 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: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [11:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Precautions t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Previous Weight t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:45:00 27/10/2015] 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: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 27/10/2015] 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: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 27/10/2015] 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: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Fingerstick Glucose t0: [12:00:00 27/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:15:00 27/10/2015] 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: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/10/2015] 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: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/10/2015] 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: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: ETT Mark/Location t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU st: NotStopd id: FiO2 Set t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 530 n1: 530 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:50:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Intubation Date t0: [12:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Sputum Color/Consist t0: [12:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
pi: 4164101 hi: 29031 t0: [14:00:00 27/10/2015] tf: [13:00:00 28/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Education Topic #1 t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Position Change t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [10:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Braden Activity t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Nutrition t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/10/2015] 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: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
pi: 4164239 hi: 29031 t0: [15:00:00 27/10/2015] tf: [14:00:00 28/10/2015] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4164363 hi: 29031 t0: [15:00:00 27/10/2015] tf: [14:00:00 28/10/2015] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4164390 hi: 29031 t0: [16:00:00 27/10/2015] tf: [09:00:00 04/11/2015] mn: Aztreonam pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 16, 0, 8 dn: 3 di: Ongoing xu: Enter on Label
id: Service Type t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/10/2015] 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: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: IV #3 Reason DC'D t0: [16:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial BP t0: [16:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial BP Mean t0: [16:00:00 27/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: LU Strength/Movement t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: RU Strength/Movement t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: ETT Mark/Location t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 9.25 n1: 9.25 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Pressure Support t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 27/10/2015] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: Cough Reflex t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Gag Reflex t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Pupil Response R/L t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd
id: Potassium t0: [16:00:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:00:00 27/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
pi: 4165065 hi: 29031 t0: [18:00:00 27/10/2015] tf: [18:00:00 27/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Sputum Color/Consist t0: [17:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/10/2015] 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: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Bilious st: NotStopd id: Heart Rate t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/10/2015] 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: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 4165214 hi: 29031 t0: [19:00:00 27/10/2015] tf: [23:00:00 05/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [18:00:00 27/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: Risk for Falls t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: NBP t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: PEEP Set t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Precautions t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/10/2015] 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: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [18:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Resp Rate (Spont) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Set) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Type t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [19:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Previous Weight t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 27/10/2015] 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: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 27/10/2015] 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: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:15:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Tidal Volume (Obser) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [18:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU u1: ml/B st: NotStopd
id: Service Type t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Less Restrict Meas. t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Education Barrier t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Low Intermittent v2: Bilious st: NotStopd id: GU Catheter Size t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Height of Bed t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pupil Response R/L t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: HOB t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 652 n1: 652 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:45:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/10/2015] 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 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 27/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 27/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 1025 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 1227.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 2230 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: -1002.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 2331.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/10/2015] el: 3 cg: RN cu: CSRU cv: 2230 ac: 24 ap: none re: 0
id: FiO2 Set t0: [22:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: PEEP Set t0: [22:00:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: FiO2 Set t0: [22:22:00 27/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 42.8571 n1: 42.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:4 st: NotStopd id: Airway Size t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 578 n1: 578 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/10/2015] 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 27/10/2015] 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: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/10/2015] 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 27/10/2015] 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 27/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Fingerstick Glucose t0: [01:00:00 28/10/2015] el: 0 cg: CoWker cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/10/2015] 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: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4166411 hi: 29031 t0: [02:00:00 28/10/2015] tf: [01:00:00 29/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [01:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: ETT Position Change t0: [01:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd
id: INV Line#2 D/C Date t0: [02:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [02:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [02:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Care t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/10/2015] 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: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 27/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [01:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/10/2015] 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: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6 n1: 76.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Sputum Color/Consist t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: FiO2 Set t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/10/2015] 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: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/10/2015] 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: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: RSBI (<100) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 75 n1: 75 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: RSBI (<200) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 75 n1: 75 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 567 n1: 567 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 rs: Final st: NotStopd id: WBC t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 rs: Final st: NotStopd id: Hematocrit t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.4 n1: 38.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 240 n1: 240 rs: Final st: NotStopd id: RBC t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.11 n1: 4.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.4 n1: 9.4 rs: Final st: NotStopd
id: Pain Present t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [05:00:00 28/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Oral Care t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/10/2015] 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: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/10/2015] 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: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [05:00:00 28/10/2015] el: 1 cg: RN cu: CSRU v1: done id: Bowel Sounds t0: [05:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: Gastric Oral Gastric t0: [05:00:00 28/10/2015] el: 2 cg: RN cu: CSRU vo: 750 vu: ml
id: Gastric Out Total t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU cv: 750 ac: 24 ap: none re: 0
id: BUN t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phenobarbital t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: PT t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: INR t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: PTT(22-35) t0: [04:28:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 28/10/2015] el: 0 cg: CoWker cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Urine Out Foley t0: [06:00:00 28/10/2015] el: 1 cg: CoWker cu: CSRU vo: 40 vu: ml
pi: 4166689 hi: 29031 t0: [07:00:00 28/10/2015] tf: [06:00:00 29/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4166690 hi: 29031 t0: [07:00:00 28/10/2015] tf: [06:00:00 29/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/10/2015] 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: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/10/2015] 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: [06:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [06:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: D5W 100.0ml t0: [06:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: FiO2 Set t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Minute Volume (Set) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 2.4 n1: 2.4 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 400 n1: 400 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [06:00:00 28/10/2015] el: 0 cg: RRT cu: CSRU v1: 583 n1: 583 u1: ml/B st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 28/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/10/2015] 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: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/10/2015] 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 28/10/2015] 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: [07:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Support Systems t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [07:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Temp. Site t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Gastric Meds t0: [08:00:00 28/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: GT Flush t0: [08:00:00 28/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU cv: 70 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: Low Exhaled Min Vol t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 306 n1: 306 u1: ml/B st: NotStopd id: Ventilator Type t0: [08:15:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
pi: 4167054 hi: 29031 t0: [10:00:00 28/10/2015] tf: [09:00:00 29/10/2015] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued rt: NG fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/10/2015] 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: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/10/2015] 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: [09:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: D5W 100.0ml t0: [09:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Oral Care t0: [09:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
pi: 4167258 hi: 29031 t0: [08:00:00 28/10/2015] tf: [11:00:00 03/11/2015] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/10/2015] 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: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/10/2015] 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: [10:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: D5W 100.0ml t0: [10:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Resp Rate (Total) t0: [10:18:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:18:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [10:18:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 320 n1: 320 u1: ml/B st: NotStopd id: Ventilator Type t0: [10:18:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:45:00 28/10/2015] 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: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 28/10/2015] 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 28/10/2015] 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: [10:30:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd id: Respiratory Rate t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Significant Events t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Extubated st: NotStopd id: SpO2 t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:45:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Extubation Date t0: [10:40:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: FiO2 Set t0: [10:40:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [10:40:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [11:30:00 28/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Eye Opening t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Intubation Date t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 12 n2: 12 st: NotStopd id: LL Strength/Movement t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LU Strength/Movement t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Oral Cavity t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 28/10/2015] 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: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 28/10/2015] 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: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RU Strength/Movement t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [10:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [10:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Ventilator Type t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:30:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [11:30:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [11:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/10/2015] 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: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/10/2015] 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: [12:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [12:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 28/10/2015] 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: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/10/2015] 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 28/10/2015] 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: [13:00:00 28/10/2015] 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 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Back Care t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Stool Out Stool t0: [14:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [14:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Stool Out Total t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4167961 hi: 29031 t0: [15:00:00 28/10/2015] tf: [20:00:00 28/10/2015] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 15, 21, 3, 9 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: NBP t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 28/10/2015] 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: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/10/2015] 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: [15:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [13:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [15:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<100) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Cuff Pressure-Airway t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI Not Completed t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Mark/Location t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Extubation Date t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Insp. Pressure t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Resp. Rate t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inspired Gas Temp t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Intubation Date t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Low Exhaled Min Vol t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Mean Airway Pressure t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume (Set) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume(Obser) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Neg Insp Force(>-25) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Apnea Time Interval t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pressure Support t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<200) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Rec. Breath Pressure t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Rec.Breath Time(sec) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Recruit Breath t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank A psi. t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank B psi. t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ve High t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sensitivity-Vent t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon RR (Mech.) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Spont) t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Mode t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Vital Cap (>1.0)L t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [15:00:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4168215 hi: 29031 t0: [16:00:00 28/10/2015] tf: [09:00:00 31/10/2015] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4168216 hi: 29031 t0: [16:00:00 28/10/2015] tf: [08:00:00 29/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [15:00:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [15:00:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [15:00:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 28/10/2015] el: 0 cg: RT cu: CSRU v1: Expectorated v2: Moderate st: NotStopd
id: GI#1 Intub Site t0: [15:31:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [15:31:00 28/10/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 28/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Education Learner t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [13:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [13:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Catheter Size t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [13:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Oral Cavity t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 28/10/2015] 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: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/10/2015] 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: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [13:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [13:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 28/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/10/2015] 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: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Back Care t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:30:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:30:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/10/2015] 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: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Fingerstick Glucose t0: [18:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Pain Present t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Height of Bed t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/10/2015] 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: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/10/2015] 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 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 41 n1: 41 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Support Systems t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Turn t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
pi: 4169436 hi: 29031 t0: [21:00:00 28/10/2015] tf: [22:00:00 30/10/2015] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q4H ds: 21, 1, 5, 9, 13, 17 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Sputum Color/Consist t0: [20:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Service Type t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: FiO2 Set t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: calprevflg t0: [21:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 100 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 1 cg: RN cu: CSRU ra: 33.2625 ru: ml/hr
pi: 4169541 hi: 29031 t0: [22:00:00 28/10/2015] tf: [08:00:00 29/10/2015] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4169543 hi: 29031 t0: [22:00:00 28/10/2015] tf: [08:00:00 29/10/2015] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4169693 hi: 29031 t0: [22:00:00 28/10/2015] tf: [21:00:00 29/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Nitroglycerine-k t0: [21:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: NBP t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 109.333 n1: 109.333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:20:00 28/10/2015] 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: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 28/10/2015] 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: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 44 n1: 44 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:15:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:20:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [21:15:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [21:20:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: NBP t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 28/10/2015] 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: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:30:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [21:30:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 16.8547 n1: 16.8547 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: SaO2 t0: [21:23:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: NBP t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:40:00 28/10/2015] 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: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:40:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nitroglycerine-k t0: [21:40:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
id: Art.pH t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: CaO2 t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 16.7679 n1: 16.7679 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:19:00 28/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/10/2015] 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 28/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 28/10/2015] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 710 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 780 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: 22 cv: 22 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: 22 cv: 1237 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: -12 cv: -1207 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: -12 cv: 1124.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: -12 cv: -12 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/10/2015] el: 3 cg: RN cu: CSRU pv: 22 cv: 1987 ac: 24 ap: carryForward re: 0
id: Service Type t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GU Catheter Size t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Heart Rate t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 22 vu: ml
id: INV Line#2 Type/Site t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd
id: D5W 100.0ml t0: [00:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: FiO2 Set t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: SpO2 t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:15:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
pi: 4170092 hi: 29031 t0: [02:00:00 29/10/2015] tf: [01:00:00 30/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/10/2015] 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: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Art.pH t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 16.4213 n1: 16.4213 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 82 n1: 82 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: SaO2 t0: [01:48:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Service Type t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/10/2015] 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: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 4170215 hi: 29031 t0: [04:00:00 29/10/2015] tf: [03:00:00 30/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/10/2015] 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: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 740 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 740 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: 25 cv: 2292 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: -15 cv: -1552 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: -15 cv: -427.96 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: -15 cv: -15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/10/2015] el: 3 cg: RN cu: CSRU pv: 25 cv: 2292 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: WBC t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Hematocrit t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 39.4 n1: 39.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 222 n1: 222 rs: Final st: NotStopd id: RBC t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.28 n1: 4.28 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd
pi: 4170266 hi: 29031 t0: [05:00:00 29/10/2015] tf: [04:00:00 30/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE MR1 ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4170267 hi: 29031 t0: [05:00:00 29/10/2015] tf: [04:00:00 30/10/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: BUN t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Code Status t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Calcium t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 214 n1: 214 rs: Final st: NotStopd id: Magnesium t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Diet Type t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Eye Opening t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/10/2015] 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: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: BUN (6-20) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Bowel Sounds t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 214 n1: 214 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:04:00 29/10/2015] 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: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Braden Activity t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Sodium (135-148) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Braden Frict/Shear t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: PT t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: INR t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.7 n1: 34.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: PTT(22-35) t0: [03:04:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34.7 n1: 34.7 rs: Final st: NotStopd
id: FiO2 Set t0: [04:20:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [04:20:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:20:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [04:20:00 29/10/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Service Type t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/10/2015] 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: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [05:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: D5W 100.0ml t0: [05:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/10/2015] 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: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 190 vu: ml
id: Fingerstick Glucose t0: [06:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
pi: 4170371 hi: 29031 t0: [08:00:00 29/10/2015] tf: [07:00:00 30/10/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 29/10/2015] 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: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Pain Present t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/10/2015] 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: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Support Systems t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
pi: 4170624 hi: 29031 t0: [09:00:00 29/10/2015] tf: [09:00:00 29/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [08:25:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [08:25:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: Alb/Atr st: NotStopd id: SpO2 t0: [08:25:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd
id: Service Type t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/10/2015] 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: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4170695 hi: 29031 t0: [10:00:00 29/10/2015] tf: [09:00:00 31/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4170696 hi: 29031 t0: [10:00:00 29/10/2015] tf: [09:00:00 30/10/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4170697 hi: 29031 t0: [10:00:00 29/10/2015] tf: [08:00:00 04/11/2015] mn: Famotidine pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4170698 hi: 29031 t0: [10:00:00 29/10/2015] tf: [09:00:00 31/10/2015] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued rt: IH fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:46:00 29/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/10/2015] 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: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [10:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: D5W 100.0ml t0: [10:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/10/2015] 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: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Turns by self st: NotStopd id: In-Line Sx Change t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: calprevflg t0: [11:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: FiO2 Set t0: [12:00:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [12:00:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: Alb/Atr st: NotStopd id: SpO2 t0: [12:00:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 29/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 171 n1: 171 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/10/2015] 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: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/10/2015] 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: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [12:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [13:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/10/2015] 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: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: D5W 100.0ml t0: [14:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 29/10/2015] 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: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Pain Present t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/10/2015] 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: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [14:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: In-Line Sx Change t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 29/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: FiO2 Set t0: [16:30:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [16:30:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: Alb/Atr st: NotStopd id: SpO2 t0: [16:30:00 29/10/2015] el: 0 cg: MS cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Service Type t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/10/2015] 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: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [17:00:00 29/10/2015] el: 0 cg: CoWker cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Urine Out Foley t0: [17:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Service Type t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Oral Care t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/10/2015] 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: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Back Care t0: [17:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Pain Present t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Micro-Neb Treatment t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Alb st: NotStopd id: Motor Response t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/10/2015] 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: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/10/2015] 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 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [20:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/10/2015] 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 29/10/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 29/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4173565 hi: 29031 t0: [01:00:00 30/10/2015] tf: [23:00:00 05/11/2015] mn: Morphine Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 30/10/2015] el: 0 cg: NA cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Purple st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [00:00:00 30/10/2015] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Micro-Neb Treatment t0: [00:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd id: Sputum Color/Consist t0: [00:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/10/2015] 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: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 12 vu: ml
id: Service Type t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/10/2015] 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: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 30/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5/.45NS 1000.0ml t0: [01:00:00 30/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [02:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/10/2015] 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: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: WBC (4-11,000) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: WBC t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd id: Hematocrit t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 40.8 n1: 40.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13.5 n1: 13.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 221 n1: 221 rs: Final st: NotStopd id: RBC t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.37 n1: 4.37 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 rs: Final st: NotStopd
id: PT t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.3 n1: 38.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 38.3 n1: 38.3 rs: Final st: NotStopd
id: BUN t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:12:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/10/2015] 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: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Micro-Neb Treatment t0: [04:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: alb/atr st: NotStopd
id: Service Type t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/10/2015] 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: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Fingerstick Glucose t0: [06:00:00 30/10/2015] el: 0 cg: NA cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/10/2015] 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: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: FiO2 Set t0: [07:33:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [07:33:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [07:33:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [07:33:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd
id: FiO2 Set t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Alb/Atr st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Nasotracheal Sxn v2: Scant st: NotStopd
id: Pain Present t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/10/2015] 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: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/10/2015] 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 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Support Systems t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 30/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: FiO2 Set t0: [08:05:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: O2 Delivery Device t0: [08:05:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:05:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: O2 Delivery Device t0: [08:25:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:25:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [08:25:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd
id: Service Type t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 30/10/2015] 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: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/10/2015] 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 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Back Care t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 30/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [10:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: FiO2 Set t0: [10:00:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd
pi: 4174700 hi: 29031 t0: [11:00:00 30/10/2015] tf: [10:00:00 31/10/2015] mn: Phytonadione pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/10/2015] 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: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [11:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4175009 hi: 29031 t0: [13:00:00 30/10/2015] tf: [12:00:00 31/10/2015] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 30/10/2015] 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: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Urine Color/Appear t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 28 vu: ml
id: Temp. Site t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd
id: Micro-Neb Treatment t0: [10:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Alb st: NotStopd id: Micro-Neb Treatment t0: [12:20:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: AlbAtrv st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 30/10/2015] el: 0 cg: Co-wor cu: CSRU v1: 174 n1: 174 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/10/2015] 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: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/10/2015] 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 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: FiO2 Set t0: [14:20:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Micro-Neb Treatment t0: [14:20:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Alb st: NotStopd id: O2 Delivery Device t0: [14:20:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [14:20:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [14:20:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
pi: 4175519 hi: 29031 t0: [16:00:00 30/10/2015] tf: [23:00:00 05/11/2015] mn: Heparin Flush Midline (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [15:45:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [15:45:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [15:45:00 30/10/2015] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Micro-Neb Treatment t0: [17:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: AlbAtrv st: NotStopd
id: Compliance (40-60ml) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 45.8333 n1: 45.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Plug st: NotStopd id: Sputum Source/Amt t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 558 n1: 558 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [18:29:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 51.6667 n1: 51.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 30/10/2015] 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: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/10/2015] 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 30/10/2015] 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: [17:00:00 30/10/2015] 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 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/10/2015] 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 30/10/2015] 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 30/10/2015] 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 30/10/2015] 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 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Height of Bed t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pupil Response R/L t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 231 n1: 231 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:56:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 rs: Final st: NotStopd
id: INV#1Chg o/Wire Date t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: HOB t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Skin Care t0: [12:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [16:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: INV#1 Cap Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [17:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: NBP t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 56.6667 n1: 56.6667 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 30/10/2015] 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: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Significant Events t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intubated st: NotStopd id: SpO2 t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 61.1111 n1: 61.1111 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 527 n1: 527 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Position t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml st: Stopped id: Urine Out Foley t0: [20:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Less Restrict Meas. t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:30:00 30/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 2000 vu: ml
id: Art.pH t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:52:00 30/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: INV#1Chg o/Wire Date t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: INV Line#1 Site Date t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: NBP t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 30/10/2015] 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: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: calprevflg t0: [21:30:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [22:00:00 30/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Service Type t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [22:00:00 30/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Total Hourly Output t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU cv: 355 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU cv: 355 ac: 24 ap: none re: 0
pi: 4176855 hi: 29031 t0: [20:00:00 30/10/2015] tf: [23:00:00 05/11/2015] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: INV#1Chg o/Wire Date t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: INV Line#1 Site Date t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Zero/Cal t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 WaveformAppear t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:45:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/10/2015] 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: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 30/10/2015] 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 30/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: calprevflg t0: [23:00:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 30/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 2520 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 2520 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 2165 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 1737.04 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/10/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 553 n1: 553 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Height of Bed t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Pupil Response R/L t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [00:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Service Type t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 31/10/2015] 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: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [01:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 71.6667 n1: 71.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 31/10/2015] 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: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
pi: 4177320 hi: 29031 t0: [04:00:00 31/10/2015] tf: [03:00:00 01/11/2015] 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: 4177321 hi: 29031 t0: [04:00:00 31/10/2015] tf: [03:00:00 01/11/2015] 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: Service Type t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 31/10/2015] 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: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: WBC (4-11,000) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: WBC t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd id: Hematocrit t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 37.9 n1: 37.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: RBC t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 4.14 n1: 4.14 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 rs: Final st: NotStopd
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CSRU am: 8 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 1 cg: RN cu: CSRU ra: 16.6313 ru: ml/hr
pi: 4177325 hi: 29031 t0: [05:00:00 31/10/2015] tf: [11:00:00 01/11/2015] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LLL Lung Sounds t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 56.3333 n1: 56.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 48 n1: 48 u1: mmHg st: NotStopd id: Position t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 31/10/2015] 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: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Urine Culture st: NotStopd id: Pupil Response R/L t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: y st: NotStopd id: Verbal Response t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [04:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [04:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [04:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Levophed-k t0: [04:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [04:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [04:30:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: PT t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.1 n1: 33.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 33.1 n1: 33.1 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: FiO2> 60% st: NotStopd id: ETT Mark/Location t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: lpm st: NotStopd id: PEEP Set t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 598 n1: 598 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:03:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Follows Commands t0: [04:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 31/10/2015] 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: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.6313 vu: ml
id: Levophed-k t0: [05:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.15 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [05:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: NBP t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:15:00 31/10/2015] 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: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [05:15:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [05:15:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
pi: 4177409 hi: 29031 t0: [07:00:00 31/10/2015] tf: [06:00:00 01/11/2015] 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: Less Restrict Meas. t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 WaveformAppear t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 31/10/2015] 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: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: calprevflg t0: [06:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 28.0652 vu: ml id: Urine Out Foley t0: [06:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Levophed-k t0: [06:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4177434 hi: 29031 t0: [08:00:00 31/10/2015] tf: [07:00:00 01/11/2015] 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
id: Pain Present t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 31/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: Gag Reflex t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Level of Conscious t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: lpm st: NotStopd id: Orientation t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 31/10/2015] 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: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 31/10/2015] 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 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Respiratory Rate t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Ventilator Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: TF Residual t0: [08:00:00 31/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [08:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 31/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [07:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 29.1047 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 29.1047 vu: ml id: Urine Out Foley t0: [08:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Levophed-k t0: [07:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 45.8333 n1: 45.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 556 n1: 556 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:31:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Diet Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GU Catheter Size t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: RL Strength/Movement t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [08:00:00 31/10/2015] el: 1 cg: RN cu: CSRU v1: Donw id: Bowel Sounds t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
pi: 4177736 hi: 29031 t0: [10:00:00 31/10/2015] tf: [17:00:00 04/11/2015] mn: Albuterol pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4177737 hi: 29031 t0: [10:00:00 31/10/2015] tf: [17:00:00 04/11/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4177787 hi: 29031 t0: [10:00:00 31/10/2015] tf: [09:00:00 01/11/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 20 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 31/10/2015] 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: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [09:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 24.9 vu: ml
id: Levophed-k t0: [09:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.149718 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 31/10/2015] 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: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [10:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 24.9 vu: ml id: Urine Out Foley t0: [10:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Levophed-k t0: [10:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.149718 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [10:47:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Service Type t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 31/10/2015] 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: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [11:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.6 vu: ml
id: Levophed-k t0: [11:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0998121 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Gastric Meds t0: [10:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [10:00:00 31/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 565 n1: 565 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:35:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Phenobarbital t0: [09:55:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 31/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: GI Prophylaxis t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 31/10/2015] 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: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [12:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [12:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.6 vu: ml id: Urine Out Foley t0: [12:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Levophed-k t0: [12:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0998121 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:21:00 31/10/2015] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 31/10/2015] 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: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [13:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.6 vu: ml id: Urine Out Foley t0: [13:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Levophed-k t0: [13:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0998121 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4178456 hi: 29031 t0: [15:00:00 31/10/2015] tf: [14:00:00 01/11/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 31/10/2015] 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: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: D5W 100.0ml t0: [14:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: TF Residual t0: [14:00:00 31/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 31/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [14:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [14:00:00 31/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [14:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 16.6 vu: ml id: Urine Out Foley t0: [14:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Levophed-k t0: [14:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0998121 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 557 n1: 557 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:04:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [15:09:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:09:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 31/10/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 31/10/2015] 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: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 31/10/2015] 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 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [15:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: D5W 100.0ml t0: [15:00:00 31/10/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [16:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: D5W 100.0ml t0: [16:00:00 31/10/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 31/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 1000.0ml t0: [15:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: D5/.45NS 1000.0ml t0: [15:00:00 31/10/2015] el: 3 ai: 354 cg: RN cu: CSRU vu: ml id: Tube Feeding t0: [15:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [16:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 8.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 8.3 vu: ml nb: 1 id: Urine Out Foley t0: [15:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Levophed-k t0: [15:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0998121 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0499061 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4178739 hi: 29031 t0: [17:00:00 31/10/2015] tf: [16:00:00 01/11/2015] mn: Cosyntropin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 31/10/2015] 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: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 83.3 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [17:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 4.2 vu: ml id: Urine Out Foley t0: [17:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Levophed-k t0: [17:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0252537 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4178751 hi: 29031 t0: [18:00:00 31/10/2015] tf: [17:00:00 01/11/2015] 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: Service Type t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 31/10/2015] 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: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 31/10/2015] 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 31/10/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 31/10/2015] el: 2 ai: 105 cg: RN cu: CSRU vu: ml st: Stopped id: D5W 100.0ml t0: [18:00:00 31/10/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 500 vu: ml id: TF Residual t0: [18:00:00 31/10/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [18:00:00 31/10/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [18:00:00 31/10/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [18:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 31/10/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 4.2 vu: ml st: Stopped id: Urine Out Foley t0: [18:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Levophed-k t0: [18:00:00 31/10/2015] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0252537 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4178874 hi: 29031 t0: [19:00:00 31/10/2015] tf: [18:00:00 01/11/2015] 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: Less Restrict Meas. t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 31/10/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: D5W 100.0ml t0: [19:00:00 31/10/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 31/10/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [19:00:00 31/10/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: Service Type t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 30 vu: ml
id: Levophed-k t0: [19:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 0 do: 0.0252537 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 31/10/2015] el: 0 cg: RNs 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 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 31/10/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 31/10/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 45.8333 n1: 45.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 576 n1: 576 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 31/10/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Urine Out Foley t0: [20:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 30 vu: ml
id: Service Type t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 31/10/2015] el: 0 cg: RNs 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 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 31/10/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 31/10/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [21:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 70 vu: ml
pi: 4179462 hi: 29031 t0: [23:00:00 31/10/2015] tf: [22:00:00 01/11/2015] 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: Service Type t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 31/10/2015] el: 0 cg: RNs 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 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [22:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU v1: done
id: .9% Normal Saline 1000.0ml t0: [22:00:00 31/10/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 31/10/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 40 vu: ml
id: Service Type t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 31/10/2015] el: 0 cg: RNs 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 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 31/10/2015] el: 2 ai: 105 cg: RNs cu: CSRU vo: 500 vu: ml id: TF Residual t0: [23:00:00 31/10/2015] el: 2 ai: 107 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 31/10/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 31/10/2015] el: 1 ai: 155 cg: RNs cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [23:00:00 31/10/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [23:00:00 31/10/2015] el: 1 cg: RNs cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 10 cv: 5713.91 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 65 cv: 6918.91 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU cv: 510 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 55 cv: 695 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 40 cv: 735 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 25 cv: 6183.91 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 25 cv: 7920.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 31/10/2015] el: 3 cg: RNs cu: CSRU pv: 40 cv: 735 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 01/11/2015] el: 0 cg: RNs 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 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 31/10/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 01/11/2015] el: 3 ai: 304 cg: RNs cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [00:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 184 n1: 184 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [00:00:00 01/11/2015] el: 2 ai: 105 cg: RNs cu: CSRU vo: 50 vu: ml
id: Compliance (40-60ml) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 547 n1: 547 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: NBP t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg u2: mmHg st: NotStopd
id: Service Type t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [01:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 20 vu: ml
id: Service Type t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: HOB t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Oral Care t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [02:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 25 vu: ml
id: D5W 100.0ml t0: [02:00:00 01/11/2015] el: 3 ai: 304 cg: RNs cu: CSRU vo: 1000 vu: ml
pi: 4179849 hi: 29031 t0: [04:00:00 01/11/2015] tf: [03:00:00 02/11/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [03:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 25 vu: ml
id: Less Restrict Meas. t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Learner t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Readiness t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [04:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 58.8235 n1: 58.8235 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1:3.0 st: NotStopd id: Airway Size t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 58.8235 n1: 58.8235 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.425 n1: 0.425 u1: L st: NotStopd id: Sputum Color/Consist t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 565 n1: 565 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:35:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: WBC t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Hematocrit t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 10.2 n1: 10.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: RBC t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.25 n1: 3.25 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd
id: PT t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: INR t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 33.6 n1: 33.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: PTT(22-35) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 33.6 n1: 33.6 rs: Final st: NotStopd
id: BUN t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Total Bili t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 0.3 n1: 0.3 rs: Final st: NotStopd id: ALT t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: BUN (6-20) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:12:00 01/11/2015] 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: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:12:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [05:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 30 vu: ml
pi: 4180031 hi: 29031 t0: [07:00:00 01/11/2015] tf: [06:00:00 02/11/2015] mn: Potassium Chloride 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 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 66.3333 n1: 66.3333 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [06:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 30 vu: ml
id: Fingerstick Glucose t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Therapeutic Bed t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 01/11/2015] 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: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [07:00:00 01/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Alarms t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Stool Guaiac t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [07:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [07:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Compliance (40-60ml) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 567 n1: 567 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:13:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 01/11/2015] 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: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/11/2015] 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 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [08:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [08:00:00 01/11/2015] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [08:00:00 01/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 01/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [08:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [09:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Stool Out Stool t0: [09:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [08:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Total t0: [23:00:00 01/11/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 01/11/2015] 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: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Tube Feeding t0: [10:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [10:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Imp Skin Cleanse #1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Position Change t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Support Systems t0: [10:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd
pi: 4180647 hi: 29031 t0: [12:00:00 01/11/2015] tf: [22:00:00 01/11/2015] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml 1/2NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
id: Less Restrict Meas. t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 01/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 01/11/2015] 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: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/11/2015] 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 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [11:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 250 vu: ml id: D5W 100.0ml t0: [12:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [10:00:00 01/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [10:00:00 01/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [11:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [12:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [11:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [12:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Compliance (40-60ml) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10.4 n1: 10.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 562 n1: 562 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:07:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 01/11/2015] 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: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/11/2015] 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 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [13:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [14:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [13:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [14:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 01/11/2015] 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: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [15:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: D5/.45NS 1000.0ml t0: [15:00:00 01/11/2015] el: 3 ai: 354 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: D5W 100.0ml t0: [15:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .45% Normal Saline 1000.0ml t0: [15:00:00 01/11/2015] el: 1 ai: 189 cg: RN cu: CSRU vu: ml nb: 1
id: Gastric Meds t0: [14:00:00 01/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [14:00:00 01/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 01/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 01/11/2015] 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: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [16:00:00 01/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml id: .45% Normal Saline 1000.0ml t0: [16:00:00 01/11/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [16:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [15:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [16:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Compliance (40-60ml) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:12:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/11/2015] 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: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [17:00:00 01/11/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [17:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: Fingerstick Glucose t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [18:00:00 01/11/2015] el: 1 ai: 189 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [18:00:00 01/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [18:00:00 01/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [18:00:00 01/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: PO/Gastric In Total t0: [23:00:00 01/11/2015] el: 3 cg: RN cu: CSRU cv: 240 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/11/2015] 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: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/11/2015] 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 01/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 01/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:00:00 01/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/11/2015] el: 0 cg: RNs 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 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [19:00:00 01/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: .45% Normal Saline 1000.0ml t0: [20:00:00 01/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [19:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [20:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [20:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 75 vu: ml
id: Compliance (40-60ml) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 45.8333 n1: 45.8333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 17.1 n1: 17.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 560 n1: 560 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:40:00 01/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/11/2015] el: 0 cg: RNs 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 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [21:00:00 01/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [21:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [21:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 75 vu: ml
pi: 4181713 hi: 29031 t0: [23:00:00 01/11/2015] tf: [23:00:00 01/11/2015] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4181715 hi: 29031 t0: [23:00:00 01/11/2015] tf: [23:00:00 01/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:01:00 01/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/11/2015] el: 0 cg: RNs 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 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 01/11/2015] el: 3 ai: 304 cg: RNs cu: CSRU vo: 500 vu: ml id: TF Residual t0: [22:00:00 01/11/2015] el: 2 ai: 107 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 01/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [22:00:00 01/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: .45% Normal Saline 1000.0ml t0: [23:00:00 01/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [22:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [23:00:00 01/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU vo: 50 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 610 cv: 3830 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 665 cv: 5390 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 55 cv: 1320 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 100 cv: 1045 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 565 cv: 4345 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 565 cv: 12265.9 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 565 cv: 565 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/11/2015] el: 3 cg: RNs cu: CSRU pv: 100 cv: 1045 ac: 24 ap: carryForward re: 0
id: HOB t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Bath t0: [23:00:00 01/11/2015] el: 1 cg: RNs cu: CSRU v1: done
id: Less Restrict Meas. t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/11/2015] el: 0 cg: RNs 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 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 01/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [00:00:00 02/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml id: Tube Feeding t0: [00:00:00 02/11/2015] el: 1 ai: 431 cg: RNs cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [00:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [00:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 626 n1: 626 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [00:00:00 02/11/2015] el: 3 ai: 304 cg: RNs cu: CSRU vo: 50 vu: ml
pi: 4181939 hi: 29031 t0: [02:00:00 02/11/2015] tf: [09:00:00 05/11/2015] mn: traZODONE HCl pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml st: Restart id: .45% Normal Saline 1000.0ml t0: [01:00:00 02/11/2015] el: 1 ai: 189 cg: RNs cu: CSRU vo: 100 vu: ml st: Stopped id: Urine Out Foley t0: [01:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 100 vu: ml
id: Service Type t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 02/11/2015] el: 1 ai: 155 cg: RNs cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 65 vu: ml
id: Less Restrict Meas. t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [04:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Commun Barrier st: NotStopd id: Education Handout t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/11/2015] el: 0 cg: RNs 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 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [03:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 90 vu: ml
id: Art.pH t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 80 n1: 80 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:09:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 32.3529 n1: 32.3529 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 71.2074 n1: 71.2074 u1: units st: NotStopd id: ETT Mark/Location t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.32 n1: 9.32 u1: L/min st: NotStopd id: PEEP Set t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: RSBI (<200) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 71.2074 n1: 71.2074 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.323 n1: 0.323 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 524 n1: 524 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:31:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: WBC t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Hematocrit t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: RBC t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd
id: PT t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: INR t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 rs: Final st: NotStopd
id: BUN t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:43:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
pi: 4182143 hi: 29031 t0: [06:00:00 02/11/2015] tf: [05:00:00 03/11/2015] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4182144 hi: 29031 t0: [06:00:00 02/11/2015] tf: [05:00:00 03/11/2015] 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: 4182145 hi: 29031 t0: [06:00:00 02/11/2015] tf: [05:00:00 03/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 60 vu: ml
id: Gastric Out Total t0: [23:00:00 02/11/2015] el: 3 cg: RNs cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: Service Type t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: HOB t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/11/2015] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 02/11/2015] el: 1 cg: RNs cu: CSRU vo: 60 vu: ml
id: Fingerstick Glucose t0: [06:00:00 02/11/2015] el: 0 cg: RNs cu: CSRU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Low Exhaled Min Vol t0: [06:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd
id: Compliance (40-60ml) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1:4.0 st: NotStopd id: Airway Size t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 594 n1: 594 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:39:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Potassium Phosphate io: .9% Normal Saline 250.0ml el: 100 cg: RN cu: CSRU am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml el: 1 cg: RN cu: CSRU ra: 62 ru: ml/hr
id: Less Restrict Meas. t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 02/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rhythm t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/11/2015] 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: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: Reason For Restraint t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml t0: [08:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vu: ml nb: 1
id: HOB t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Oral Cavity t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Arterial BP t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 02/11/2015] 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: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Rate t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 02/11/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 02/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [08:30:00 02/11/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [09:00:00 02/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 02/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: Urine Out Foley t0: [09:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 02/11/2015] 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: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 02/11/2015] 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: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Compliance (40-60ml) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 55 n1: 55 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:54:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 02/11/2015] el: 0 cg: Co-wor cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/11/2015] 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: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [09:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml id: .9% Normal Saline 250.0ml t0: [10:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml id: .9% Normal Saline 250.0ml t0: [11:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml id: .9% Normal Saline 250.0ml t0: [12:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml
id: Urine Out Foley t0: [12:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/11/2015] 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: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/11/2015] 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 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [13:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml id: .9% Normal Saline 250.0ml t0: [14:00:00 02/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 42 vu: ml st: Stopped id: Urine Out Foley t0: [14:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Arterial BP t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 02/11/2015] 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: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vu: ml nb: 1 id: Urine Out Foley t0: [15:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/11/2015] 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: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [15:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Temp. Site t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 39.2857 n1: 39.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 595 n1: 595 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [16:00:00 02/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Meds t0: [16:00:00 02/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml
id: HOB t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [16:30:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/11/2015] 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: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [16:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [17:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml
id: Urine Out Foley t0: [17:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Cough Reflex t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: GI Prophylaxis t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: GU Catheter Size t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Gag Reflex t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Height of Bed t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Height of Bed t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Abdominal Assessment t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LL Strength/Movement t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Level of Conscious t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Orientation t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Bowel Sounds t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Support Systems t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Braden Activity t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Frict/Shear t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Frict/Shear t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden Score t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [17:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: HOB t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [12:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [14:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/11/2015] 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: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [18:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Fingerstick Glucose t0: [18:00:00 02/11/2015] el: 0 cg: Co-wor cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Phosphorous t0: [18:30:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [18:30:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:30:00 02/11/2015] 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: [18:30:00 02/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Service Type t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [20:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Less Restrict Meas. t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [20:00:00 02/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 02/11/2015] 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: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 561 n1: 561 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 02/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4184967 hi: 29031 t0: [20:00:00 02/11/2015] tf: [23:00:00 05/11/2015] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 02/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/11/2015] 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 02/11/2015] 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 02/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [22:00:00 02/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [22:00:00 02/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [22:00:00 02/11/2015] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: IV Infusion In Total t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 1182 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 1867 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 190 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 495 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 1490 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 377 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 12757.9 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/11/2015] el: 3 cg: RN cu: CSRU cv: 1490 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 575 n1: 575 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Service Type t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [00:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/11/2015] 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: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/11/2015] 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 02/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 02/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [00:00:00 03/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [00:00:00 03/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [00:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [00:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: PO/Gastric In Total t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU cv: 50 ac: 24 ap: none re: 0
id: Temp. Site t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [01:00:00 03/11/2015] el: 0 cg: CoWker cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/11/2015] 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: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/11/2015] 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 03/11/2015] 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: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/11/2015] 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 03/11/2015] 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 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 115 vu: ml
id: Pain Present t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [03:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Pain Location t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/11/2015] 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: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml
id: WBC (4-11,000) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: WBC t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Hematocrit t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 29.4 n1: 29.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: RBC t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.22 n1: 3.22 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd
id: Urine Out Foley t0: [04:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Compliance (40-60ml) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 75.3623 n1: 75.3623 u1: units st: NotStopd id: ETT Mark/Location t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: RSBI (<200) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 75.3623 n1: 75.3623 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.345 n1: 0.345 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 552 n1: 552 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:42:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: BUN t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phenobarbital t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 19.6 n1: 19.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:46:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/11/2015] 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: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/11/2015] 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 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 4185776 hi: 29031 t0: [07:00:00 03/11/2015] tf: [06:00:00 04/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4185777 hi: 29031 t0: [07:00:00 03/11/2015] tf: [06:00:00 04/11/2015] 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: Less Restrict Meas. t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Circulation/SkinInt t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough Reflex t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Education Topic #1 t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GU Catheter Size t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Pupil Response R/L t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [02:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [04:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: DONE id: Behavior t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [06:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/11/2015] 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: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/11/2015] 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: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Sputum Color/Consist t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Compliance (40-60ml) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 27.5 n1: 27.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 489 n1: 489 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/11/2015] 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: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Less Restrict Meas. t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Pain Assess Method t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [08:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Pupil Response R/L t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/11/2015] 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: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/11/2015] 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: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [12:00:00 03/11/2015] el: 0 cg: Co-wor cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/11/2015] 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: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Precautions t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/11/2015] 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: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Significant Events t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: OR Sent st: NotStopd
id: Service Type t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 03/11/2015] 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: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Significant Events t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: OR Received st: NotStopd id: calprevflg t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Riker-SAS Scale t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [13:45:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: OR/Procedure st: NotStopd id: ETT Mark/Location t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Sputum Color/Consist t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [13:45:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: Lactated Ringers t0: [13:45:00 03/11/2015] el: 1 ai: 274 cg: RN cu: CSRU vo: 800 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:45:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 37.5 vu: ml id: Urine Out Foley t0: [13:45:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough Reflex t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Risk for Falls t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GU Catheter Size t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LL Strength/Movement t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/11/2015] 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: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Trach Insert Date t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Compliance (40-60ml) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: ETT Mark/Location t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Extubation Date t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 37.6 n1: 37.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 543 n1: 543 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [14:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: ETT Position Change t0: [15:00:00 03/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1Chg o/Wire Date t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Trach Insert Date t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Risk for Falls t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Type t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Site Date t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 7.5 mm st: NotStopd id: Airway Type t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable st: NotStopd id: Assistance Device t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 29 n2: 29 st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/11/2015] 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: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [10:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Cap Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Cap Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Trach Cuff/Fenestra t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Turn t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Mobility t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden SensoryPercep t0: [14:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [15:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Trach Insert Date t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: 522 n1: 522 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:50:00 03/11/2015] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Potassium Phosphate io: .9% Normal Saline 500.0ml el: 200 cg: RN cu: CSRU am: 150 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 2 cg: RN cu: CSRU ra: 80 ru: ml/hr
id: Less Restrict Meas. t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Trach Insert Date t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [16:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: GU Catheter Size t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/11/2015] 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: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Turn t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: D5W 100.0ml t0: [08:00:00 03/11/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [08:00:00 03/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml t0: [14:00:00 03/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [16:00:00 03/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 500.0ml t0: [16:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Trach Insert Date t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Extubation Date t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Arterial BP t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/11/2015] 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: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Trach Cuff/Fenestra t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Ventilator Type t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [17:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [17:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4187740 hi: 29031 t0: [18:00:00 03/11/2015] tf: [17:00:00 04/11/2015] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Trach Insert Date t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [18:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GI Intub #1/Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GU Catheter Size t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Level of Conscious t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Oral Care t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Position t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/11/2015] 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: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Trach Cuff/Fenestra t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Turn t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Fingerstick Glucose t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd id: Braden Activity t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [18:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [18:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [18:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Tube Feeding t0: [18:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Urine Out Foley t0: [18:30:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 610 vu: ml
id: Stool Out Stool t0: [18:45:00 03/11/2015] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [18:45:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Stool Out Total t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 03/11/2015] 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: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [19:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [19:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Less Restrict Meas. t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [20:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [20:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [20:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Trach Insert Date t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Extubation Date t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: 593 n1: 593 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 03/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Urine Out Foley t0: [20:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 1040 vu: ml
id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [21:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [21:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [21:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 315 vu: ml
pi: 4188682 hi: 29031 t0: [22:00:00 03/11/2015] tf: [21:00:00 04/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Art.pH t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 13.0929 n1: 13.0929 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [21:00:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/11/2015] 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 03/11/2015] 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 03/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [22:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [22:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Potassium t0: [20:51:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:51:00 03/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Pain Present t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Riker-SAS Scale t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 03/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Arterial BP t0: [21:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Service Type t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Alarms t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/11/2015] 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: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/11/2015] 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 03/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 04/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 500.0ml t0: [23:00:00 03/11/2015] el: 2 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [00:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [23:00:00 03/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 90 cv: 2110 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 120 cv: 2420 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 30 cv: 260 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1Chg o/Wire Date t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Education Topic #1 t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Gag Reflex t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Site Date t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3 Type/Site t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3InsertDate t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#3 Dsg Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Cap Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Verbal Response t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [22:00:00 03/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Temp. Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Trach Insert Date t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 435 n1: 435 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Activity t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Oral Care t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/11/2015] 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: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/11/2015] 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 04/11/2015] 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: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/11/2015] 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 04/11/2015] 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 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [02:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: D5W 100.0ml t0: [01:00:00 04/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [02:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [00:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [01:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [02:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [23:00:00 03/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Total Hourly Output t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 350 cv: 350 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 350 cv: 4130 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: -230 cv: -1710 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: -230 cv: 11047.9 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: -230 cv: -230 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/11/2015] el: 3 cg: RN cu: CSRU pv: 350 cv: 4130 ac: 24 ap: carryForward re: 0
id: .9% Normal Saline 500.0ml t0: [04:00:00 04/11/2015] el: 2 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Trach Insert Date t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 1700 n1: 1700 st: NotStopd id: Tank B psi. t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.356 n1: 0.356 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 410 n1: 410 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [02:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pain Type t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/11/2015] 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: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [04:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Temp. Site t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 275 vu: ml
id: WBC (4-11,000) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: WBC t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd id: Hematocrit t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 28.7 n1: 28.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: RBC t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.12 n1: 3.12 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 rs: Final st: NotStopd
id: BUN t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:44:00 04/11/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Intub Site t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: GU Catheter Size t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/11/2015] 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: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/11/2015] 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 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [05:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [06:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml
id: Urine Out Foley t0: [06:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
pi: 4189520 hi: 29031 t0: [08:00:00 04/11/2015] tf: [07:00:00 05/11/2015] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/11/2015] 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: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 04/11/2015] 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 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:30:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [07:30:00 04/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:30:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Tube Feeding t0: [07:30:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [07:30:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4189565 hi: 29031 t0: [09:00:00 04/11/2015] tf: [09:00:00 05/11/2015] mn: Famotidine pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 9, 21 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4189665 hi: 29031 t0: [23:00:00 04/11/2015] tf: [09:00:00 04/11/2015] mn: Guaifenesin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q4H ds: 23, 3, 7, 11, 15, 19 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Extubation Date t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10.2 n1: 10.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 420 n1: 420 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/11/2015] 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: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Tube Feeding t0: [09:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [09:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
pi: 4189718 hi: 29031 t0: [16:00:00 04/11/2015] tf: [23:00:00 05/11/2015] mn: Guaifenesin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q 8H ds: 08, 16, 00 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Arterial BP t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/11/2015] 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: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: calprevflg t0: [10:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 04/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: D5W 100.0ml t0: [10:00:00 04/11/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: FiO2 Set t0: [11:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [11:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/11/2015] 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: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [11:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: D5W 100.0ml t0: [11:00:00 04/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [12:00:00 04/11/2015] el: 0 cg: Co-wor cu: CSRU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/11/2015] 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: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Less Restrict Meas. t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Oral Care t0: [11:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/11/2015] 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: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [13:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [13:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Extubation Date t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 426 n1: 426 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/11/2015] 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: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [14:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Family Communication t0: [14:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd
id: Service Type t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/11/2015] 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: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: INV#1Chg o/Wire Date t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Education Topic #1 t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: INV Line#1 Site Date t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Side Rails t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [16:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Heart Rate t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position Change t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/11/2015] 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: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Temp. Site t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 04/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [16:00:00 04/11/2015] el: 1 ai: 155 cg: RN cu: CSRU vo: 40 vu: ml id: GT Flush t0: [08:00:00 04/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [16:00:00 04/11/2015] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [16:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [16:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 115 vu: ml
id: PO/Gastric In Total t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU cv: 130 ac: 24 ap: none re: 0
pi: 4191183 hi: 29031 t0: [18:00:00 04/11/2015] tf: [23:00:00 05/11/2015] mn: Albuterol pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q4H ds: 10, 14, 18, 22, 2, 6 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4191184 hi: 29031 t0: [22:00:00 04/11/2015] tf: [23:00:00 05/11/2015] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
id: MDI #1 (Puff/Drug) t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [14:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: Service Type t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/11/2015] 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: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml
id: Extubation Date t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 375 n1: 375 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Urine Out Foley t0: [17:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 106 n2: 106 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/11/2015] 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: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: HOB t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Pain Present t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 04/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 13 n2: 13 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Arterial BP t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/11/2015] 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: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/11/2015] 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 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [19:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [20:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [20:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 155 vu: ml
id: Trach Insert Date t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: 428 n1: 428 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 04/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/11/2015] 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 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [22:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 165 vu: ml
id: Service Type t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/11/2015] 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 04/11/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 04/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 04/11/2015] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: IV Infusion In Total t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 10 cv: 540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 50 cv: 1470 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 125 cv: 125 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 40 cv: 800 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 125 cv: 2630 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: -75 cv: -1160 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: -75 cv: 9887.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: -75 cv: -75 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/11/2015] el: 3 cg: RN cu: CSRU pv: 125 cv: 2630 ac: 24 ap: none re: 0
id: INV#2Chg o/Wire Date t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 D/C Date t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Site Date t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Type/Site t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2InsertDate t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2SiteAppear t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Dsg Change t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Cap Change t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Tubing Change t0: [00:00:00 05/11/2015] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [00:00:00 05/11/2015] el: 0 cg: NA cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Trach Insert Date t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Cuff Leak t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 438 n1: 438 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Cough Reflex t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Cough Reflex t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [00:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: Follows Commands t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: GU Catheter Size t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Gag Reflex t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Height of Bed t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Level of Conscious t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Arterial BP t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/11/2015] 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: [00:05:00 05/11/2015] 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: [00:10:00 05/11/2015] 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: [00:15:00 05/11/2015] 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: [00:20:00 05/11/2015] 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: [00:25:00 05/11/2015] 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: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: SpO2 t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: SpO2 t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Color/Consist t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:05:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:10:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:20:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:25:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Behavior t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [22:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 04/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 05/11/2015] el: 3 ai: 304 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [00:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Service Type t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 05/11/2015] 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: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/11/2015] 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 05/11/2015] 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: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/11/2015] 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 05/11/2015] 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 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [02:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [03:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [01:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 65 vu: ml id: Urine Out Foley t0: [02:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [03:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Trach Insert Date t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: RSBI (<100) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 84.399 n1: 84.399 u1: units st: NotStopd id: Cuff Leak t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: PEEP Set t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 84.399 n1: 84.399 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.391 n1: 0.391 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 563 n1: 563 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: HOB t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/11/2015] 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: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/11/2015] 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 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/11/2015] 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 05/11/2015] 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 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraint Type t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [02:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [05:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [06:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [04:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Pain Present t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Daily Wake Up t0: [03:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Alarms t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Location t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 05/11/2015] el: 0 cg: NA cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: WBC t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Hematocrit t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 30.2 n1: 30.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 195 n1: 195 rs: Final st: NotStopd id: RBC t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.32 n1: 3.32 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd
id: BUN t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:56:00 05/11/2015] 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: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Phenobarbital t0: [05:56:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 17.2 n1: 17.2 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Trach Insert Date t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [08:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Extubation Date t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GU Catheter Size t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Airway Size t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/11/2015] 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: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/11/2015] 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 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Urine Source t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [08:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [08:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Less Restrict Meas. t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Alarms t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Care t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [07:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: High Insp. Pressure t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.35 n1: 8.35 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 431 n1: 431 u1: ml/B st: NotStopd
id: Service Type t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/11/2015] 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: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [09:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [09:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
pi: 4193272 hi: 29031 t0: [14:00:00 05/11/2015] tf: [23:00:00 05/11/2015] mn: Neutra-Phos pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 dt: 1 di: Days xv: 36 xu: Hours pi: 4193290 hi: 29031 t0: [10:00:00 05/11/2015] tf: [23:00:00 05/11/2015] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4193336 hi: 29031 t0: [22:00:00 05/11/2015] tf: [14:00:00 05/11/2015] mn: Phenobarbital pt: Unit Dose st: Discontinued rt: IV fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4193382 hi: 29031 t0: [20:00:00 05/11/2015] tf: [23:00:00 05/11/2015] mn: Ranitidine (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 79 n1: 79 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:35:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Trach Insert Date t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Daily Wake Up t0: [10:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GU Catheter Size t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: ImpSkin Treatment #1 t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Level of Conscious t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/11/2015] 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: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Trach Cuff/Fenestra t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Color/Appear t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [10:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 05/11/2015] 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: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [11:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [11:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: D5W 100.0ml t0: [10:00:00 05/11/2015] el: 2 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Extubation Date t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: O2 Delivery Device t0: [10:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 05/11/2015] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Reflex t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Daily Wake Up t0: [12:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: GU Catheter Size t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Heart Rate t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Abdominal Assessment t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: LL Strength/Movement t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Thrush st: NotStopd id: Orientation t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 05/11/2015] 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: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Support Systems t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [12:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 750 vu: ml
id: Temp. Site t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [12:30:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 525 vu: ml
id: Art.pH t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:34:00 05/11/2015] el: 0 cg: 3161 cu: CSRU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Trach Insert Date t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Extubation Date t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: O2 Delivery Device t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:30:00 05/11/2015] 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: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Trach Cuff/Fenestra t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Ventilator Type t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [12:30:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4194233 hi: 29031 t0: [22:00:00 05/11/2015] tf: [23:00:00 05/11/2015] mn: Phenobarbital pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Pain Present t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Pain Assess Method t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Trach Insert Date t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 05/11/2015] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GU Catheter Size t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: HOB t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LLL Lung Sounds t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Position t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 05/11/2015] 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: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Therapeutic Bed t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Trach Cuff/Fenestra t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Turn t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [13:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [14:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
pi: 4194482 hi: 29031 t0: [16:00:00 05/11/2015] tf: [23:00:00 05/11/2015] mn: Pneumococcal Vac Polyvalent pt: Unit Dose st: Discontinued via patient discharge rt: IM fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/11/2015] 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: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding t0: [15:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [15:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 325 vu: ml
id: Trach Insert Date t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Extubation Date t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: FiO2 Set t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: O2 Delivery Device t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Sputum Color/Consist t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Trach Care t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Trach Cuff/Fenestra t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Ventilator Type t0: [15:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Distraction st: NotStopd id: Range of Motion t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Trach Insert Date t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Service Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Reflex t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Risk for Falls t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Extubation Date t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v2: + st: NotStopd id: Eye Opening t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GU Catheter Size t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 16 French st: NotStopd id: Gag Reflex t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: HOB t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Height of Bed t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Midline v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: Activity t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Gluteal, Left st: NotStopd id: Airway Size t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: LL Strength/Movement t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/11/2015] 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: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Hand Mitts st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Children st: NotStopd id: INV#1 Cap Change t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 31 n2: 31 st: NotStopd id: Temp. Site t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: #8 st: NotStopd id: Tracheostomy Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Portex st: NotStopd id: Turn t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [16:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Extubation Date t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v2: + st: NotStopd id: Airway Size t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: O2 Delivery Device t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [17:00:00 05/11/2015] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/11/2015] 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: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/11/2015] 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 05/11/2015] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/11/2015] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 05/11/2015] el: 1 ai: 431 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 05/11/2015] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 280 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 1230 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 950 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 3645 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: -2415 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 7472.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/11/2015] el: 3 cg: RN cu: -1 cv: 3645 ac: 24 ap: none re: 0
id: Ectopy Frequency t0: [18:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [18:00:00 05/11/2015] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
ci: 35680 t0: [11:35:00 16/10/2015] cu: CSRU di: No Disch Status dt: 45069