This log is also available as text (235bc.txt) and as a (binary) annotation file (235bc.log).
Generated: Thursday, 23-Apr-2009 00:36:04 EDT
(All dates below are surrogates.)
id: Service Type t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [13:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 du: Umin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Sputum Color/Consist t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Fresh Frozen Plasma t0: [12:00:00 14/02/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 238 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [13:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 3 vu: ml id: Urine Out Foley t0: [13:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: GI Prophylaxis t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Stool Guaiac t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: INV Line#1 Zero/Cal t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV Site Appear #1 t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4410335 hi: 28366 t0: [15:00:00 14/02/2018] tf: [15:00:00 23/02/2018] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4410336 hi: 28366 t0: [22:00:00 14/02/2018] tf: [15:00:00 23/02/2018] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [14:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [15:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 101 n1: 101 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [15:09:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: ETT Position Change t0: [15:09:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: ETT Mark/Location t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 7.85 n1: 7.85 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: GI#1 Intub Site t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: IV #1 Insert Date t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Side Rails t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Fresh Frozen Plasma t0: [13:00:00 14/02/2018] el: 1 ai: 189 cg: RN cu: CCU vo: 256 vu: ml uu: Units id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 8 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [15:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Fentanyl t0: [15:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU cv: 494 ac: 24 ap: none re: 0
id: Service Type t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Art.pH t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 16.9759 n1: 16.9759 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [16:49:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Service Type t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 40 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [17:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 106 n1: 106 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 30.5556 n1: 30.5556 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 527 n1: 527 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: RAMP st: NotStopd
id: BUN t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Chloride t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Potassium t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Carbon Dioxide t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:41:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
pi: 4411104 hi: 28366 t0: [19:00:00 14/02/2018] tf: [18:00:00 15/02/2018] 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: Pain Present t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rate t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 14/02/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 8 vu: ml id: Urine Out Foley t0: [17:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [18:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Fentanyl t0: [18:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 104 n1: 104 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Pain Location t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [18:00:00 14/02/2018] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Pt./Family Informed t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Pt./Family Informed t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Temp. Site t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd
id: Respiratory Rate t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd
id: GI Prophylaxis t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Cavity t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Stool Guaiac t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Sputum Color/Consist t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: HOB t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [16:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [15:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Therapeutic Bed t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [16:00:00 14/02/2018] el: 0 cg: RT cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Art.pH t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: CaO2 t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 17.5694 n1: 17.5694 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [19:12:00 14/02/2018] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
pi: 4411753 hi: 28366 t0: [10:00:00 14/02/2018] tf: [15:00:00 20/02/2018] mn: Digoxin pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 14/02/2018] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Introducer v2: Right IJ st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Torso st: NotStopd id: LLL Lung Sounds t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 14/02/2018] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Skin Integrity t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 260 vu: ml
id: Fentanyl t0: [19:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 34.375 n1: 34.375 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 22cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1:3.3 st: NotStopd id: Airway Size t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 511 n1: 511 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 14/02/2018] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml
id: Fentanyl t0: [21:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 14/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [22:00:00 14/02/2018] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Fentanyl t0: [22:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [22:00:00 14/02/2018] el: 0 cg: CoWker cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Service Type t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 110 n2: 110 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 14/02/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 14/02/2018] el: 1 ai: 115 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: Fentanyl t0: [23:00:00 14/02/2018] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: 175 cv: 175 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: 175 cv: 3570 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/02/2018] el: 2 cg: RN cu: CCU pv: 175 cv: 3570 ac: 24 ap: none re: 0