This log is also available as text (s03133.txt) and as a (binary) annotation file (s03133.log).
Generated: Monday, 07-Jun-2010 13:20:15 EDT
(All dates below are surrogates.)
t0: [23:09:02 07/11/2014] tf: [09:35:11 09/11/2014] id: a40947 [view]
t0: [18:17:59 07/11/2014] tf: [09:33:59 09/11/2014] id: a40947n [view]
t0: [00:11:29 07/11/2014] tf: [02:55:10 08/11/2014] id: a41495 [view]
t0: [22:26:59 07/11/2014] tf: [02:52:59 09/11/2014] id: a41495n [view]
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07051 ds: 3 ld: ACUTE HEPATITIS C W/OUT dd: 2967 ds: 6 ld: BIPLOAR I DISORDER, MOST dd: 45621 ds: 4 ld: ESOPH VARICE OTH DIS NOS dd: 5363 ds: 5 ld: GASTROPARESIS dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 5723 ds: 1 ld: PORTAL HYPERTENSION
dd: 0088 ds: 8 ld: VIRAL ENTERITIS NOS dd: 07054 ds: 5 ld: CHR HEPAT C W/O HEP COMA dd: 2967 ds: 9 ld: BIPLOAR I DISORDER, MOST dd: 5273 ds: 6 ld: SALIVARY GLAND ABSCESS dd: 5609 ds: 1 ld: INTESTINAL OBSTRUCT NOS dd: 5712 ds: 3 ld: ALCOHOL CIRRHOSIS LIVER dd: 5921 ds: 2 ld: CALCULUS OF URETER dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS dd: 6019 ds: 7 ld: PROSTATITIS NOS dd: 7895 ds: 4 ld: ASCITES
dd: 78701 ds: 1 ld: NAUSEA WITH VOMITING
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 4169 ds: 4 ld: CHR PULMON HEART DIS NOS dd: 4240 ds: 3 ld: MITRAL VALVE DISORDER dd: V7282 ds: 2 ld: PRE-OP RESPIRATORY EXAM
dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 2967 ds: 5 ld: BIPLOAR I DISORDER, MOST dd: 45620 ds: 4 ld: BLEED ESOPH VAR OTH DIS dd: 45621 ds: 3 ld: ESOPH VARICE OTH DIS NOS dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 5722 ds: 2 ld: HEPATIC COMA dd: 78701 ds: 1 ld: NAUSEA WITH VOMITING dd: V113 ds: 6 ld: HX OF ALCOHOLISM
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 2967 ds: 5 ld: BIPLOAR I DISORDER, MOST dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER dd: 5722 ds: 1 ld: HEPATIC COMA dd: 5920 ds: 4 ld: CALCULUS OF KIDNEY
dd: 7812 ds: 1 ld: ABNORMALITY OF GAIT
dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 2761 ds: 5 ld: HYPOSMOLALITY dd: 2765 ds: 2 ld: HYPOVOLEMIA dd: 2765 ds: 6 ld: HYPOVOLEMIA dd: 2767 ds: 3 ld: HYPERPOTASSEMIA dd: 2767 ds: 7 ld: HYPERPOTASSEMIA dd: 2967 ds: 8 ld: BIPLOAR I DISORDER, MOST dd: 3483 ds: 1 ld: ENCEPHALOPATHY NOS dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER dd: 5768 ds: 9 ld: DIS OF BILIARY TRACT NEC dd: 5990 ds: 4 ld: URIN TRACT INFECTION NOS
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 2851 ds: 3 ld: AC POSTHEMORRHAG ANEMIA dd: 2875 ds: 4 ld: THROMBOCYTOPENIA NOS dd: 5118 ds: 8 ld: PLEURAL EFFUS NEC NOT TB dd: 5185 ds: 9 ld: POST TRAUM PULM INSUFFIC dd: 5672 ds: 7 ld: SUPPURAT PERITONITIS NEC dd: 5712 ds: 5 ld: ALCOHOL CIRRHOSIS LIVER dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 5722 ds: 6 ld: HEPATIC COMA
tf: [10:51:00 10/06/2015] dt: 2142 cu: MICU-A de: PACU
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [23:00:00 08/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 08/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 08/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 08/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [23:00:00 08/06/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [23:00:00 08/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [23:00:00 08/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 08/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [23:00:00 08/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 6 v2: 9 st: NotStopd t0: [23:00:00 08/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: 22 gauge st: NotStopd t0: [23:00:00 08/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 08/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [23:00:00 08/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [23:00:00 08/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Lethargic st: NotStopd t0: [23:00:00 08/06/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 08/06/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 08/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 08/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Nasal Cannula st: NotStopd t0: [23:00:00 08/06/2015] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 3 u1: lpm st: NotStopd t0: [23:00:00 08/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 08/06/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 1 st: NotStopd t0: [23:00:00 08/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [23:00:00 08/06/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 81.3 u1: kg st: NotStopd t0: [23:00:00 08/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.3 u1: kg st: NotStopd t0: [23:00:00 08/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [23:00:00 08/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [23:00:00 08/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [23:00:00 08/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:00:00 08/06/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 08/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [23:00:00 08/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.8889 u1: Deg. C st: NotStopd t0: [23:00:00 08/06/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.6 u1: Deg. F st: NotStopd t0: [23:00:00 08/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [23:00:00 08/06/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 08/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 08/06/2015] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 0 u1: kg st: NotStopd t0: [23:00:00 08/06/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 08/06/2015] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 81.3 u1: kg st: NotStopd t0: [23:00:00 08/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [23:16:00 08/06/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 81.3 u1: kg t0: [23:16:00 08/06/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [23:16:00 08/06/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: SUR t0: [23:16:00 08/06/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [23:16:00 08/06/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: PRO t0: [23:16:00 08/06/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [23:16:00 08/06/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 08/06/2015] tf: [10:51:00 10/06/2015] dt: 2151 id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [23:00:00 08/06/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 08/06/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -200 cv: -200 ap: none t0: [23:00:00 08/06/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 08/06/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -200 cv: -200 ap: none t0: [23:00:00 08/06/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 08/06/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -200 cv: -200 ap: none
t0: [23:00:00 08/06/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 08/06/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd
t0: [23:00:00 08/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 08/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 08/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 08/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [23:00:00 08/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [23:00:00 08/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 08/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 08/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [23:00:00 08/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [23:00:00 08/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [23:15:00 08/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:15:00 08/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:15:00 08/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:15:00 08/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 08/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:15:00 08/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:15:00 08/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:15:00 08/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [23:15:00 08/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:15:00 08/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:15:00 08/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [23:15:00 08/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [23:15:00 08/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [23:15:00 08/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [00:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [00:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [01:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [01:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [01:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
tf: [14:00:00 09/06/2015] pt: Unit Dose rt: PO fr: Q24H fs: 2 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: Q24H fs: 2 dn: 1 m1: Pantoprazole f1: TAB v1: 40 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: Q2H fs: 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 0 dn: 12 m1: Lactulose f1: SYRP v1: 30 u1: ml
t0: [00:50:00 09/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.4 u1: % rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 42 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.62 u1: /mic l rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 rs: Final st: NotStopd
t0: [00:50:00 09/06/2015] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 70 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 152 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd
t0: [00:50:00 09/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [00:50:00 09/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd
tf: [02:00:00 09/06/2015] pt: Unit Dose rt: SC fr: Q8H fs: 3, 11, 19 dn: 3 m1: Heparin f1: INJ v1: 5000 u1: UNIT tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: 5X/D fs: 0, 08, 12, 16, 20 dn: 5 m1: Clotrimazole f1: TROC v1: 10 u1: mg
t0: [02:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [02:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [03:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [00:50:00 09/06/2015] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.5 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [00:50:00 09/06/2015] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 80.3 rs: Final st: NotStopd
t0: [00:50:00 09/06/2015] id: Direct Bili (0-0.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17.4 rs: Final st: NotStopd
t0: [00:50:00 09/06/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 55.3 rs: Final st: NotStopd
t0: [23:00:00 08/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [02:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [02:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 09/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 09/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [04:00:00 09/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [04:00:00 09/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 09/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 09/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [04:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 09/06/2015] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 09/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 09/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [04:00:00 09/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [04:00:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [04:00:00 09/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 09/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 09/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 09/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [05:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [05:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 09/06/2015] tf: [10:51:00 10/06/2015] dt: 2091 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 30 vu: ml t0: [02:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [05:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [06:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [06:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [06:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [06:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [06:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 09/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 191 rs: Manual st: NotStopd
t0: [06:00:00 09/06/2015] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd
t0: [06:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [06:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [06:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [02:00:00 09/06/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:20:00 09/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24.1 rs: Final st: NotStopd t0: [06:00:00 09/06/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [02:00:00 09/06/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 09/06/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/06/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd
t0: [07:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small
t0: [07:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd
t0: [08:00:00 09/06/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [08:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 09/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 09/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [08:00:00 09/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [08:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 09/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [08:00:00 09/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 09/06/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 09/06/2015] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [08:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [08:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [08:00:00 09/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 09/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 09/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [08:00:00 09/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 09/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 09/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Ursodiol f1: CAP v1: 300 u1: mg
t0: [08:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 480 vu: ml
t0: [10:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [10:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [10:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [10:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [10:00:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [10:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [10:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [10:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [10:00:00 09/06/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [10:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [10:00:00 09/06/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
tf: [01:00:00 09/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Furosemide f1: TAB v1: 80 u1: mg tf: [01:00:00 09/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol f1: TAB v1: 40 u1: mg tf: [01:00:00 09/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone f1: TAB v1: 25 u1: mg tf: [02:00:00 09/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Lamotrigine f1: TAB v1: 200 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Nadolol f1: TAB v1: 20 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Phytonadione f1: TAB v1: 10 u1: mg
tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: BID:PRN m1: traMADOL f1: TAB v1: 50 u1: mg
t0: [12:00:00 09/06/2015] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 09/06/2015] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 09/06/2015] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 09/06/2015] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 09/06/2015] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/06/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [12:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 09/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 09/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [12:00:00 09/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [12:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 09/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PO Med st: NotStopd t0: [12:00:00 09/06/2015] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [12:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 09/06/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [12:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [12:00:00 09/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 09/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 09/06/2015] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [12:00:00 09/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 09/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 09/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [12:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [12:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [13:00:00 09/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 152 rs: Manual st: NotStopd
t0: [14:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [14:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 47.6667 u1: mmHg st: NotStopd t0: [14:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 180 vu: ml t0: [14:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [08:00:00 09/06/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd
id: Platelets el: 1 cu: MICU-A cg: RN io: Platelets IV Infusions du: ml rt: Intravenous Push
t0: [15:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [15:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [15:00:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:00:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [15:00:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [15:15:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:15:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:15:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:15:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:15:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [15:15:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:15:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [15:15:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:15:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [15:15:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:15:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:15:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:15:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [15:15:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [15:15:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/06/2015] tf: [10:51:00 10/06/2015] dt: 1191 id: Platelets IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 263 vu: ml nb: 1 t0: [15:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 09/06/2015] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 263 ap: none
t0: [15:00:00 09/06/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [15:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/06/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [15:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 09/06/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 09/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd
t0: [16:00:00 09/06/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/06/2015] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 09/06/2015] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 09/06/2015] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 09/06/2015] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 09/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 09/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [16:00:00 09/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [16:00:00 09/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 09/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 09/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [16:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 09/06/2015] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [16:00:00 09/06/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 09/06/2015] id: Pain Management el: 1 cu: MICU-A cg: RN v1: Backrub v2: Repositioned st: NotStopd t0: [16:00:00 09/06/2015] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [16:00:00 09/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [16:00:00 09/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 09/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 09/06/2015] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 09/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 09/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 09/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 09/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 09/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [16:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [16:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 09/06/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [17:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [17:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [17:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:15:00 09/06/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd
t0: [17:00:00 09/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 135 rs: Manual st: NotStopd
t0: [17:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd
t0: [17:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 180 vu: ml t0: [17:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [17:30:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:30:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:30:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [17:30:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [17:30:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:30:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 09/06/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: Thoracentesis st: NotStopd t0: [18:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [18:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [18:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [18:00:00 09/06/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd
t0: [17:00:00 09/06/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 09/06/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [19:00:00 09/06/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/06/2015] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [19:00:00 09/06/2015] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 09/06/2015] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [19:00:00 09/06/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [19:00:00 09/06/2015] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [19:00:00 09/06/2015] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [19:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [19:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/06/2015] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [19:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 55 vu: ml
t0: [23:00:00 09/06/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1413 ap: none t0: [23:00:00 09/06/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 1150 ap: none
t0: [20:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/06/2015] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 09/06/2015] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [20:00:00 09/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [20:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 09/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 09/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [20:00:00 09/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 09/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [20:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [20:00:00 09/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 09/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 09/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 09/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 09/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 09/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 09/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 09/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 09/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [21:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [21:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 135 vu: ml
tf: [02:00:00 09/06/2015] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Quetiapine Fumarate f1: TAB v1: 100 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metronidazole f1: TAB v1: 500 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: QPM fs: 22 dn: 1 m1: Lamotrigine f1: TAB v1: 200 u1: mg
t0: [22:00:00 09/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 09/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 09/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 09/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [22:00:00 09/06/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 09/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 09/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 09/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [22:00:00 09/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 09/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 09/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 09/06/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 09/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 09/06/2015] id: Bath el: 1 cu: MICU-A cg: RN v1: Done
t0: [22:00:00 09/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 115 vu: ml
t0: [23:00:00 09/06/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1865 ap: none
t0: [19:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [22:00:00 09/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [23:00:00 09/06/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/06/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/06/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward t0: [23:00:00 09/06/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -452 ap: carryForward t0: [23:00:00 09/06/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1865 ap: carryForward t0: [23:00:00 09/06/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -652 ap: carryForward
t0: [00:00:00 10/06/2015] id: Pain Level el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 10/06/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/06/2015] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 10/06/2015] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 10/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 10/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 10/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 10/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 10/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 10/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 10/06/2015] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [00:00:00 10/06/2015] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 10/06/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 10/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [00:00:00 10/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 10/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 10/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 10/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 10/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 10/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 10/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 10/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/06/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 10/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 133 rs: Manual st: NotStopd t0: [00:00:00 10/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 10/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 10/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [00:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [01:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [01:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [01:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 10/06/2015] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 750 ap: none
t0: [01:30:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:30:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:30:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:30:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [01:30:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:30:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [01:30:00 10/06/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [01:30:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:30:00 10/06/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:30:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 10/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [02:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [02:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/06/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 81.3 u1: kg st: NotStopd t0: [02:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 10/06/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: -3.6 u1: kg st: NotStopd t0: [02:00:00 10/06/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 77.7 u1: kg st: NotStopd
tf: [23:00:00 10/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: Methylprednisolone Na Succ. f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [23:00:00 10/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: *NF* Basiliximab f1: VIAL v1: 20 u1: mg m2: NS f2: INJ v2: 50 u2: ml tf: [23:00:00 10/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: Unasyn f1: INJ v1: 3 u1: gm m2: NS f2: INJ v2: 100 u2: ml tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: ONCE fs: 2 dn: 1 m1: Fluconazole f1: TAB v1: 400 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: ONCE fs: 2 dn: 1 m1: Mycophenolate Mofetil f1: TAB v1: 1000 u1: mg tf: [23:00:00 10/06/2015] pt: Unit Dose rt: SC fr: ONCE fs: 2 dn: 1 m1: Heparin f1: INJ v1: 5000 u1: UNIT
t0: [04:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [03:42:00 10/06/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [04:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 77.7 u1: kg st: NotStopd t0: [04:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 10/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 10/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 10/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 10/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 10/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/06/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/06/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [05:00:00 10/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [05:00:00 10/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 10/06/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 10/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [05:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [05:00:00 10/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 10/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 77.7 u1: kg st: NotStopd t0: [05:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 10/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/06/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [05:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 10/06/2015] dt: 24 id: Stool Out Total el: 2 cu: -1 cg: RN cv: 0 ap: carryForward
t0: [05:00:00 10/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd
t0: [07:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
tf: [23:00:00 10/06/2015] pt: IV Piggyback rt: IV fr: 1X fs: 9 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [08:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 77.7 u1: kg st: NotStopd t0: [08:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [08:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/06/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/06/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 10/06/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [09:00:00 10/06/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 10/06/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [09:00:00 10/06/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 77.7 u1: kg st: NotStopd t0: [09:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 10/06/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 10/06/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 10/06/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [09:00:00 10/06/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [09:00:00 10/06/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/06/2015] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:24:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [09:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 10/06/2015] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 750 ap: carryForward
t0: [08:24:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 84.8 rs: Final st: NotStopd
t0: [08:24:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 78.3 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.4 u1: % rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 66 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.42 u1: /mic l rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd
t0: [08:24:00 10/06/2015] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 43 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [08:24:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd
t0: [08:24:00 10/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23.9 rs: Final st: NotStopd
t0: [08:00:00 10/06/2015] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/06/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/06/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/06/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 10/06/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Ascites st: NotStopd t0: [08:00:00 10/06/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 10/06/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/06/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 10/06/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/06/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/06/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 10/06/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/06/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/06/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 10/06/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/06/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 10/06/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/06/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 10/06/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 10/06/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd
t0: [09:00:00 10/06/2015] tf: [10:51:00 10/06/2015] dt: 111 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 10/06/2015] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 100 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 100 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -650 ap: carryForward t0: [23:00:00 10/06/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: -1302 ap: carryForward
t0: [08:00:00 10/06/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 10/06/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/06/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 10/06/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 10/06/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [08:00:00 10/06/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 10/06/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [09:00:00 10/06/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 10/06/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 6 v2: 11 st: NotStopd t0: [09:00:00 10/06/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 6 v2: 9 st: NotStopd t0: [09:00:00 10/06/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [09:00:00 10/06/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 10/06/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [09:00:00 10/06/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 10/06/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [09:00:00 10/06/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
tf: [14:00:00 22/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sulfameth/Trimethoprim DS f1: TAB v1: 1 u1: TAB tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Valganciclovir HCl f1: TAB v1: 450 u1: mg
t0: [10:19:00 10/06/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:20:00 10/06/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 216 u1: mmHg rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [10:20:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23 u1: % rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.15 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [10:20:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd
tf: [18:39:00 16/06/2015] dt: 8763 cu: CSRU de: FA6A
t0: [11:19:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 169 u1: mmHg rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 187 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25 u1: % rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.79 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [11:19:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [11:20:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 225 rs: Final st: NotStopd t0: [11:20:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [11:20:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [11:20:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 52.5 rs: Final st: NotStopd t0: [11:20:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [12:00:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 190 rs: Final st: NotStopd t0: [12:00:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:00:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [12:00:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [12:00:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 160 u1: mmHg rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.91 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [12:06:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [12:50:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 165 rs: Final st: NotStopd t0: [12:50:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:50:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [12:50:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 64.5 rs: Final st: NotStopd t0: [12:50:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 144 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 184 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27 u1: % rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.86 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.7 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [13:00:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [13:53:00 10/06/2015] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:05:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [14:15:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 230 rs: Final st: NotStopd t0: [14:15:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [14:15:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [14:15:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 55.3 rs: Final st: NotStopd t0: [14:15:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 176 u1: mmHg rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36 u1: % rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:48:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [15:05:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 327 rs: Final st: NotStopd t0: [15:05:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [15:05:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [15:05:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [15:05:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35 u1: % rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.39 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.3 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [15:16:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [16:37:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 155 u1: mmHg rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [16:37:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.66 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.8 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [16:37:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [16:41:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [16:41:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.65 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [16:41:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [16:00:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [16:30:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [16:00:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 248 rs: Final st: NotStopd t0: [16:00:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:00:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [16:00:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.7 rs: Final st: NotStopd t0: [16:30:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 249 rs: Final st: NotStopd t0: [16:30:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:30:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.6 rs: Final st: NotStopd
id: Nitroglycerine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Propofol el: 101 cu: CSRU cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip id: Propofol el: 101 cu: CSRU cg: -1 io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip
t0: [16:30:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 52 rs: Final st: NotStopd
io: D5/.45NS IV Infusions el: 1 cu: CSRU cg: -1 ra: 125 ru: ml/hr
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 1 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: D5/.45NS el: 1 cu: CSRU cg: -1 io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [17:26:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:15:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:15:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:15:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [17:15:00 10/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:15:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:15:00 10/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [17:15:00 10/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [17:15:00 10/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:15:00 10/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [17:15:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [17:15:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [17:15:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:15:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:15:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [17:15:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:15:00 10/06/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [17:15:00 10/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [17:15:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:15:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:15:00 10/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [17:15:00 10/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [17:15:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:15:00 10/06/2015] tf: [01:00:00 11/06/2015] dt: 465 id: OR Colloid OR Intake el: 1 cu: CSRU cg: RN ai: 110 vo: 12700 vu: ml t0: [17:15:00 10/06/2015] tf: [01:00:00 11/06/2015] dt: 465 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 198 vo: 8000 vu: ml t0: [17:15:00 10/06/2015] tf: [01:00:00 11/06/2015] dt: 465 id: OR Out EBL el: 1 cu: CSRU cg: RN vo: 10000 vu: ml t0: [17:15:00 10/06/2015] tf: [01:00:00 11/06/2015] dt: 465 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 1000 vu: ml
t0: [17:15:00 10/06/2015] tf: [08:30:00 11/06/2015] dt: 915 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:30:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:30:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:30:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 10/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:30:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg v2: 6 u2: mmHg st: NotStopd t0: [17:30:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:30:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:30:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:15:00 10/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [17:15:00 10/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Sanguinous v2: Moderate st: NotStopd t0: [17:15:00 10/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [17:15:00 10/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd
t0: [17:30:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [17:30:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [17:30:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [17:30:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.85222 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.856 u1: kg x m st: NotStopd t0: [17:30:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.80296 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 209.481 u1: g * m st: NotStopd t0: [17:30:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 102.956 u1: g*m/m2 st: NotStopd t0: [17:30:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.536 u1: kg * m st: NotStopd t0: [17:30:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.74384 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 37.3048 u1: g * m st: NotStopd t0: [17:30:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 18.3744 u1: g*m/m2 st: NotStopd t0: [17:30:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 103.941 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 240 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 487.31 u1: ... st: NotStopd t0: [17:30:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 210.526 u1: ml st: NotStopd t0: [17:30:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 20 u1: L/min st: NotStopd
t0: [17:15:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [17:26:00 10/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.7409 u1: ml/dl st: NotStopd t0: [17:26:00 10/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 3000 u1: ml/min st: NotStopd t0: [17:26:00 10/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1477.5 u1: ml/m/m st: NotStopd t0: [17:26:00 10/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 3000 u1: ml/min st: NotStopd t0: [17:26:00 10/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1477.83 u1: ml/m/m st: NotStopd t0: [17:26:00 10/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 3000 u1: ml/min st: NotStopd t0: [17:26:00 10/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1477.83 u1: ml/m/m st: NotStopd
t0: [17:45:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [17:45:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [17:45:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 9.35961 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:45:00 10/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:45:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:45:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [17:45:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:45:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: -1 v1: 18.8632 u1: kg x m st: NotStopd t0: [17:45:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: -1 v1: 9.31034 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: -1 v1: 198.56 u1: g * m st: NotStopd t0: [17:45:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 98.0296 u1: g*m/m2 st: NotStopd t0: [17:45:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [17:45:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [17:45:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:45:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [17:45:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:45:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.584 u1: kg * m st: NotStopd t0: [17:45:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: -1 v1: 1.27094 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: -1 v1: 27.2 u1: g * m st: NotStopd t0: [17:45:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 13.399 u1: g*m/m2 st: NotStopd t0: [17:45:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: -1 v1: 98.5222 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: -1 v1: 252.632 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: -1 v1: 512.821 u1: ... st: NotStopd t0: [17:45:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:45:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 200 u1: ml st: NotStopd t0: [17:45:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [17:45:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:45:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [17:45:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [17:45:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:45:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 19 u1: L/min st: NotStopd
t0: [17:15:00 10/06/2015] tf: [13:00:00 11/06/2015] dt: 1185 id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [18:00:00 10/06/2015] tf: [23:00:00 10/06/2015] dt: 300 id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: -1 ai: 110 vo: 0 vu: ml nb: 1 t0: [18:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: -1 ai: 110 vo: 62.5 vu: ml t0: [18:00:00 10/06/2015] tf: [18:39:00 16/06/2015] dt: 8679 id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [17:45:00 10/06/2015] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:30:00 10/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [17:30:00 10/06/2015] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [17:30:00 10/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [17:30:00 10/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [17:30:00 10/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:30:00 10/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:30:00 10/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:30:00 10/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [17:30:00 10/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [17:30:00 10/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [17:30:00 10/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:30:00 10/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:30:00 10/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 10/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 791 u1: ml/B st: NotStopd t0: [17:30:00 10/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [17:30:00 10/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [17:30:00 10/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
tf: [13:00:00 11/06/2015] pt: Unit Dose rt: IV fr: Q1-2H:PRN m1: Morphine Sulfate f1: INJ v1: 2 u1: mg tf: [17:00:00 11/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 18 dn: 1 m1: Methylprednisolone Na Succ. f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 100 u2: ml tf: [20:00:00 11/06/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin f1: INJ v1: 100 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [17:00:00 12/06/2015] pt: IV Piggyback rt: IV fr: Q6H fs: 18, 0, 6, 12 dn: 4 m1: Unasyn f1: INJ v1: 1.5 u1: gm m2: NS f2: INJ v2: 50 u2: ml tf: [19:00:00 16/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Famotidine f1: BAG v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride f2: INJ v2: 50 u2: ml tf: [14:00:00 22/06/2015] pt: Unit Dose rt: PO fr: Q24H fs: 18 dn: 1 m1: Fluconazole f1: TAB v1: 400 u1: mg
t0: [17:15:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [17:15:00 10/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [17:15:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:15:00 10/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:15:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [17:15:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:15:00 10/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [17:15:00 10/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:15:00 10/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:15:00 10/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Firm st: NotStopd t0: [17:15:00 10/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:15:00 10/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:15:00 10/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:15:00 10/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:15:00 10/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:15:00 10/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:15:00 10/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:15:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:15:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:15:00 10/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [17:15:00 10/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:15:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [17:15:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [17:15:00 10/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:15:00 10/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:15:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:15:00 10/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:15:00 10/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [17:15:00 10/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [17:15:00 10/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [17:15:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:15:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:15:00 10/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:15:00 10/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [17:15:00 10/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [17:15:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 255 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 49 rs: Final st: NotStopd
t0: [17:15:00 10/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [17:30:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [17:45:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [17:45:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [17:45:00 10/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [17:45:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:45:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [17:45:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:45:00 10/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Firm st: NotStopd t0: [17:45:00 10/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [17:45:00 10/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [17:45:00 10/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:45:00 10/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:45:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:45:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:45:00 10/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:45:00 10/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:45:00 10/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [17:45:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:45:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:45:00 10/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:45:00 10/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [17:45:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:45:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.45813 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [18:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [18:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.3229 u1: kg x m st: NotStopd t0: [18:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.50739 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 197.254 u1: g * m st: NotStopd t0: [18:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: g*m/m2 st: NotStopd t0: [18:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg v2: 4 u2: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: PCWP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: PVR el: 0 cu: CSRU cg: RN v1: 41.6667 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: PVRI el: 0 cu: CSRU cg: RN v1: 84.5666 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.87232 u1: kg * m st: NotStopd t0: [18:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.41379 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 29.3216 u1: g * m st: NotStopd t0: [18:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 14.4335 u1: g*m/m2 st: NotStopd t0: [18:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 262.5 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 532.77 u1: ... st: NotStopd t0: [18:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 195.918 u1: ml st: NotStopd t0: [18:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [18:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [18:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.2 u1: L/min st: NotStopd t0: [18:15:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:15:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:15:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [18:15:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:15:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:15:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [18:15:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:15:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:15:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:15:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:15:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:15:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:15:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg v2: 6 u2: mmHg st: NotStopd t0: [18:15:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:15:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:15:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:15:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:15:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [18:15:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [18:15:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:15:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:15:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:15:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:15:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:30:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:30:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:30:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:30:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg v2: 6 u2: mmHg st: NotStopd t0: [18:30:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:30:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:30:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 10/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:30:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:30:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:30:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:15:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:16:00 10/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 63 rs: Final st: NotStopd
t0: [18:16:00 10/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd
t0: [17:15:00 10/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 15.9 u1: mg/dl rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [17:15:00 10/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 571 rs: Final st: NotStopd t0: [17:15:00 10/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 1055 rs: Final st: NotStopd
t0: [18:15:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.60591 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.3596 u1: kg x m st: NotStopd t0: [18:15:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.55665 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 195.582 u1: g * m st: NotStopd t0: [18:15:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: g*m/m2 st: NotStopd t0: [18:15:00 10/06/2015] id: PVR el: 0 cu: CSRU cg: RN v1: 41.0256 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.9172 u1: kg * m st: NotStopd t0: [18:15:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.43842 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 29.4712 u1: g * m st: NotStopd t0: [18:15:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 14.532 u1: g*m/m2 st: NotStopd t0: [18:15:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 250.256 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 507.804 u1: ... st: NotStopd t0: [18:15:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 196.97 u1: ml st: NotStopd t0: [18:15:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:15:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [18:15:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [18:15:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.5 u1: L/min st: NotStopd t0: [18:30:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.60591 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.3596 u1: kg x m st: NotStopd t0: [18:30:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.55665 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 195.582 u1: g * m st: NotStopd t0: [18:30:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: g*m/m2 st: NotStopd t0: [18:30:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.1824 u1: kg * m st: NotStopd t0: [18:30:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.5665 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 32.1504 u1: g * m st: NotStopd t0: [18:30:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 15.8621 u1: g*m/m2 st: NotStopd t0: [18:30:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 250.256 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 507.804 u1: ... st: NotStopd t0: [18:30:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 196.97 u1: ml st: NotStopd t0: [18:30:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:30:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [18:30:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [18:30:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.5 u1: L/min st: NotStopd t0: [18:45:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:45:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:45:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.70443 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:45:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:45:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.2902 u1: kg x m st: NotStopd t0: [18:45:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.50739 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 194.861 u1: g * m st: NotStopd t0: [18:45:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 96.0591 u1: g*m/m2 st: NotStopd t0: [18:45:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:45:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg v2: 3 u2: mmHg st: NotStopd t0: [18:45:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:45:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:45:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:45:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:45:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.41128 u1: kg * m st: NotStopd t0: [18:45:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.18719 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.3576 u1: g * m st: NotStopd t0: [18:45:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.0197 u1: g*m/m2 st: NotStopd t0: [18:45:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 98.0296 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 251.777 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 511.34 u1: ... st: NotStopd t0: [18:45:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:45:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 198.99 u1: ml st: NotStopd t0: [18:45:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:45:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [18:45:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [18:45:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.7 u1: L/min st: NotStopd
t0: [18:45:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:15:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:45:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.80296 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 20.8393 u1: kg x m st: NotStopd t0: [19:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 10.2463 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 206.298 u1: g * m st: NotStopd t0: [19:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 101.478 u1: g*m/m2 st: NotStopd t0: [19:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg v2: 5 u2: mmHg st: NotStopd t0: [19:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [19:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.7064 u1: kg * m st: NotStopd t0: [19:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.33498 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.792 u1: g * m st: NotStopd t0: [19:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.202 u1: g*m/m2 st: NotStopd t0: [19:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 269.347 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 546.939 u1: ... st: NotStopd t0: [19:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 197.03 u1: ml st: NotStopd t0: [19:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [19:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [19:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.9 u1: L/min st: NotStopd
t0: [19:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [19:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [19:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 10/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.6296 u1: ml/cmH st: NotStopd t0: [20:00:00 10/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 10/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 10/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 10/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 10/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 10/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 10/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.07 u1: L/min st: NotStopd t0: [20:00:00 10/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 10/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 10/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [20:00:00 10/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [20:00:00 10/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 10/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 10/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
tf: [19:00:00 11/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 20, 08 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [19:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [20:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.85222 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 22.304 u1: kg x m st: NotStopd t0: [20:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 10.9852 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 218.579 u1: g * m st: NotStopd t0: [20:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 107.882 u1: g*m/m2 st: NotStopd t0: [20:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg v2: 2 u2: mmHg st: NotStopd t0: [20:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 10/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [20:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.176 u1: kg * m st: NotStopd t0: [20:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.07389 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 21.3248 u1: g * m st: NotStopd t0: [20:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.4926 u1: g*m/m2 st: NotStopd t0: [20:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 296 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 601.015 u1: ... st: NotStopd t0: [20:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 196.078 u1: ml st: NotStopd t0: [20:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [20:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [20:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 20 u1: L/min st: NotStopd
t0: [20:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 11/06/2015] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 1000 u1: mg
t0: [21:26:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.55 rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 158 u1: mmHg rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.55 rs: Final st: NotStopd
t0: [21:26:00 10/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.0663 u1: ml/dl st: NotStopd t0: [21:26:00 10/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 194 rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [21:26:00 10/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [21:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.80296 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [21:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 20.0274 u1: kg x m st: NotStopd t0: [21:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.85222 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 196.248 u1: g * m st: NotStopd t0: [21:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: g*m/m2 st: NotStopd t0: [21:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [21:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [21:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [21:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.95408 u1: kg * m st: NotStopd t0: [21:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.93103 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [21:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.7192 u1: g*m/m2 st: NotStopd t0: [21:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.0591 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 253.266 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 514.286 u1: ... st: NotStopd t0: [21:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 195.098 u1: ml st: NotStopd t0: [21:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [21:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [21:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.9 u1: L/min st: NotStopd t0: [21:15:00 10/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 176 rs: Manual st: NotStopd t0: [21:26:00 10/06/2015] id: DO2 el: 0 cu: CSRU cg: RN v1: 2985 u1: ml/min st: NotStopd t0: [21:26:00 10/06/2015] id: DO2I el: 0 cu: CSRU cg: RN v1: 1470 u1: ml/m/m st: NotStopd t0: [21:26:00 10/06/2015] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 2985 u1: ml/min st: NotStopd t0: [21:26:00 10/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 1470.44 u1: ml/m/m st: NotStopd t0: [21:26:00 10/06/2015] id: O2AV el: 0 cu: CSRU cg: RN v1: 2985 u1: ml/min st: NotStopd t0: [21:26:00 10/06/2015] id: O2AVI el: 0 cu: CSRU cg: RN v1: 1470.44 u1: ml/m/m st: NotStopd t0: [21:30:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:30:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:30:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.70443 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:30:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:30:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 18.7544 u1: kg x m st: NotStopd t0: [21:30:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.26108 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 187.544 u1: g * m st: NotStopd t0: [21:30:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 92.6108 u1: g*m/m2 st: NotStopd t0: [21:30:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [21:30:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:30:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:30:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:30:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [21:30:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.89424 u1: kg * m st: NotStopd t0: [21:30:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.90148 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 58.9424 u1: g * m st: NotStopd t0: [21:30:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.0148 u1: g*m/m2 st: NotStopd t0: [21:30:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:30:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 235.533 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 478.351 u1: ... st: NotStopd t0: [21:30:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:30:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 197 u1: ml st: NotStopd t0: [21:30:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [21:30:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:30:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [21:30:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [21:30:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.7 u1: L/min st: NotStopd
t0: [20:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [20:00:00 10/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [20:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml t0: [20:00:00 10/06/2015] tf: [13:00:00 11/06/2015] dt: 1020 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [21:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 75 vu: ml t0: [21:00:00 10/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [21:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [21:00:00 10/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [21:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:27:00 10/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 255 rs: Final st: NotStopd t0: [21:27:00 10/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:27:00 10/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [21:30:00 10/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 77.7 u1: kg st: NotStopd
tf: [10:00:00 15/06/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin f1: INJ v1: 100 u1: UNIT m2: NS f2: INJ v2: 100 u2: ml
t0: [21:55:00 10/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [21:55:00 10/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd
t0: [20:00:00 10/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 10/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 10/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 10/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Firm st: NotStopd t0: [20:00:00 10/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [20:00:00 10/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [20:00:00 10/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 10/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 10/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 10/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 10/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 10/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 10/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 10/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 10/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 10/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 10/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 10/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [21:00:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [21:00:00 10/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [21:00:00 10/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [21:00:00 10/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [21:00:00 10/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [21:00:00 10/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 10/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [21:00:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [21:00:00 10/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [21:00:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.35961 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [22:00:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 10/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [22:00:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 10/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.8296 u1: kg x m st: NotStopd t0: [22:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.76847 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 180.173 u1: g * m st: NotStopd t0: [22:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 88.67 u1: g*m/m2 st: NotStopd t0: [22:00:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [22:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 10/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [22:00:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.9432 u1: kg * m st: NotStopd t0: [22:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.92611 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 60.0576 u1: g * m st: NotStopd t0: [22:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.6059 u1: g*m/m2 st: NotStopd t0: [22:00:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 94.5813 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 244.211 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 495.726 u1: ... st: NotStopd t0: [22:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 191.919 u1: ml st: NotStopd t0: [22:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [22:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [22:00:00 10/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19 u1: L/min st: NotStopd
t0: [22:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 25 vu: ml t0: [22:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [22:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:13:00 10/06/2015] id: BSA el: 1033 cu: CSRU cg: -1 v1: 2.03469 u1: m2 t0: [22:13:00 10/06/2015] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 81.3 u1: kg t0: [22:13:00 10/06/2015] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Heparin Agents t0: [22:13:00 10/06/2015] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 t0: [22:13:00 10/06/2015] id: Service el: 1026 cu: CSRU cg: -1 v1: SUR t0: [22:13:00 10/06/2015] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 72 u1: inches t0: [22:13:00 10/06/2015] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [22:13:00 10/06/2015] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: S t0: [22:13:00 10/06/2015] id: Religion el: 1000 cu: CSRU cg: -1 v1: PRO t0: [22:13:00 10/06/2015] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [22:13:00 10/06/2015] id: Ext el: 1010 cu: CSRU cg: -1 t0: [22:13:00 10/06/2015] id: PIN el: 1012 cu: CSRU cg: -1 t0: [22:13:00 10/06/2015] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [22:30:00 10/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Thick st: NotStopd t0: [22:30:00 10/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 10/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 9.45813 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [23:00:00 10/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 10/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.2339 u1: kg x m st: NotStopd t0: [23:00:00 10/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.47291 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 184.906 u1: g * m st: NotStopd t0: [23:00:00 10/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 91.133 u1: g*m/m2 st: NotStopd t0: [23:00:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [23:00:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [23:00:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [23:00:00 10/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 6.00576 u1: kg * m st: NotStopd t0: [23:00:00 10/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.96059 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 64.4368 u1: g * m st: NotStopd t0: [23:00:00 10/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 31.7241 u1: g*m/m2 st: NotStopd t0: [23:00:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 10/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 101.478 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 229.167 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 465.116 u1: ... st: NotStopd t0: [23:00:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 10/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 206.452 u1: ml st: NotStopd t0: [23:00:00 10/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 89 u1: % st: NotStopd t0: [23:00:00 10/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 10/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [23:00:00 10/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [23:00:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 10/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 19.2 u1: L/min st: NotStopd
t0: [22:00:00 10/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [22:00:00 10/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [23:00:00 10/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml t0: [23:00:00 10/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [23:00:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 10/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 70 cv: 1640 ap: none
id: Neosynephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Insulin el: 100 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
tf: [22:00:00 10/06/2015] pt: IV Piggyback rt: IV fr: ASDIR dn: 1 m1: Hydrochloric Acid f1: LIQ v1: 50 u1: mEq m2: D5W f2: INJ v2: 500 u2: ml tf: [09:00:00 11/06/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [18:00:00 11/06/2015] pt: IV Piggyback rt: IV fr: ASDIR dn: 1 m1: Hydrochloric Acid f1: LIQ v1: 100 u1: mEq m2: D5W (Glass Bottle) f2: INJ v2: 500 u2: ml
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [21:27:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [21:27:00 10/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35 u1: % rs: Final st: NotStopd t0: [21:27:00 10/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [23:15:00 10/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 177 rs: Manual st: NotStopd
t0: [23:00:00 10/06/2015] tf: [22:00:00 15/06/2015] dt: 7140 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml nb: 1 t0: [23:00:00 10/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0.5 vu: ml
t0: [22:45:00 10/06/2015] tf: [17:00:00 12/06/2015] dt: 2535 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:15:00 10/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:15:00 10/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.56 rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.9795 u1: ml/dl st: NotStopd t0: [23:15:00 10/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2880 u1: ml/min st: NotStopd t0: [23:15:00 10/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1419 u1: ml/m/m st: NotStopd t0: [23:15:00 10/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2880 u1: ml/min st: NotStopd t0: [23:15:00 10/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1418.72 u1: ml/m/m st: NotStopd t0: [23:15:00 10/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2880 u1: ml/min st: NotStopd t0: [23:15:00 10/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1418.72 u1: ml/m/m st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.56 rs: Final st: NotStopd t0: [23:15:00 10/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:15:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:15:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:15:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [23:15:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:15:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:15:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:15:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [23:15:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:15:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:15:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 10/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:30:00 10/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [23:30:00 10/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 10/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:30:00 10/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [23:30:00 10/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:30:00 10/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:30:00 10/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [23:30:00 10/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:30:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [23:30:00 10/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:30:00 10/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:30:00 10/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [23:00:00 10/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [23:15:00 10/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 0 vu: ml nb: 1
t0: [23:15:00 10/06/2015] tf: [00:00:00 11/06/2015] dt: 45 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:30:00 10/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 10/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:30:00 10/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 105 cv: 105 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 105 cv: 12840 ap: carryForward t0: [23:00:00 10/06/2015] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN pv: 15 cv: 60 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: Drain #2 Total Out el: 3 cu: CSRU cg: RN pv: 20 cv: 140 ap: none
id: HCL el: 100 cu: CSRU cg: -1 io: D5W 500.0ml IV Infusions am: 100 du: mEq rt: Intravenous Push
io: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: -1 ra: 20 ru: ml/hr
tf: [18:00:00 11/06/2015] pt: IV Piggyback rt: IV fr: ASDIR fs: 23 m1: Hydrochloric Acid f1: LIQ v1: 100 u1: mEq m2: D5W (Glass Bottle) f2: INJ v2: 500 u2: ml
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 500.0ml IV Infusions vo: 500 du: ml rt: Intravenous Infusion
t0: [21:27:00 10/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [00:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 8.57143 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 20.1144 u1: kg x m st: NotStopd t0: [00:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.90148 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 228.888 u1: g * m st: NotStopd t0: [00:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 112.808 u1: g*m/m2 st: NotStopd t0: [00:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [00:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.916 u1: kg * m st: NotStopd t0: [00:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.91626 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 67.32 u1: g * m st: NotStopd t0: [00:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 33.1527 u1: g*m/m2 st: NotStopd t0: [00:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.5369 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 335.632 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 681.447 u1: ... st: NotStopd t0: [00:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 197.727 u1: ml st: NotStopd t0: [00:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [00:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 17.4 u1: L/min st: NotStopd
t0: [00:00:00 11/06/2015] tf: [01:00:00 11/06/2015] dt: 60 id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [00:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4.25 vu: ml t0: [00:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [00:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 10/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [00:00:00 11/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.6296 u1: ml/cmH st: NotStopd t0: [00:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [00:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.14 u1: L/min st: NotStopd t0: [00:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Green v2: Thick st: NotStopd t0: [00:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 11/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 813 u1: ml/B st: NotStopd t0: [00:00:00 11/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [00:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 11/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 10/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 10/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [22:00:00 10/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 10/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [23:00:00 10/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 10/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [23:00:00 10/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [23:00:00 10/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [23:00:00 10/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 10/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 10/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 10/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [23:00:00 10/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 10/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 10/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Firm st: NotStopd t0: [00:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [00:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [00:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 198 rs: Manual st: NotStopd t0: [00:00:00 11/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [00:00:00 11/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 10.1625 vu: ml st: Stopped
t0: [00:00:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [00:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:15:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:15:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:15:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [00:15:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:15:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:15:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:15:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:15:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [00:15:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:15:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:15:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 12 vu: ml
t0: [00:15:00 11/06/2015] tf: [03:00:00 11/06/2015] dt: 165 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:15:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/06/2015] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN pv: 8 cv: 179 ap: none t0: [23:00:00 11/06/2015] dt: 24 id: Drain #2 Total Out el: 3 cu: CSRU cg: RN pv: 25 cv: 449 ap: none
t0: [00:30:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:30:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:30:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [00:30:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:30:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:30:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:30:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:30:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [00:30:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:30:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:30:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 11/06/2015] id: OR Colloid OR Intake el: 1 cu: CSRU cg: -1 ai: 110 vo: 0 st: D/C'd t0: [01:00:00 11/06/2015] id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: -1 ai: 198 vo: 0 st: D/C'd t0: [01:00:00 11/06/2015] id: OR Out EBL el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd t0: [01:00:00 11/06/2015] id: OR Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [09:00:00 11/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Albumin 25% (12.5gm) f1: INJ v1: 12.5 u1: gm
t0: [01:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 8.42365 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.9071 u1: kg x m st: NotStopd t0: [01:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.81773 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 215.723 u1: g * m st: NotStopd t0: [01:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 106.404 u1: g*m/m2 st: NotStopd t0: [01:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [01:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [01:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.11632 u1: kg * m st: NotStopd t0: [01:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.52217 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 61.6352 u1: g * m st: NotStopd t0: [01:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 30.3448 u1: g*m/m2 st: NotStopd t0: [01:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 101.478 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 308.772 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 627.078 u1: ... st: NotStopd t0: [01:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 206.024 u1: ml st: NotStopd t0: [01:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [01:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [01:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 177 rs: Manual st: NotStopd t0: [01:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 17.1 u1: L/min st: NotStopd
t0: [01:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml t0: [01:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [01:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [01:00:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 09/06/2015] id: Previous WeightF el: 0 cu: MICU-A cg: 3161 u1: kg st: NotStopd t0: [01:29:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.54 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.54 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [23:00:00 10/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -88.866 cv: -88.866 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 16.134 cv: 973.316 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 16.134 cv: 21673.3 ap: none t0: [23:00:00 10/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -88.866 cv: 8833.31 ap: carryForward t0: [23:00:00 10/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -88.866 cv: 8181.32 ap: carryForward t0: [23:00:00 11/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 123 cv: 123 ap: none t0: [23:00:00 11/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 90 cv: 1862 ap: none t0: [23:00:00 11/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 123 cv: 2740 ap: none
t0: [01:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.1 u1: % rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.99 u1: /mic l rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [01:29:00 11/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.6216 u1: ml/dl st: NotStopd t0: [01:29:00 11/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2907 u1: ml/min st: NotStopd t0: [01:29:00 11/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1431.4 u1: ml/m/m st: NotStopd t0: [01:29:00 11/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2907 u1: ml/min st: NotStopd t0: [01:29:00 11/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1432.02 u1: ml/m/m st: NotStopd t0: [01:29:00 11/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2907 u1: ml/min st: NotStopd t0: [01:29:00 11/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1432.02 u1: ml/m/m st: NotStopd
t0: [01:00:00 11/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 250 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.9 rs: Final st: NotStopd
t0: [01:00:00 11/06/2015] tf: [12:00:00 11/06/2015] dt: 660 id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [01:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml
t0: [01:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [01:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 11/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Pan Cultured st: NotStopd t0: [01:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [01:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
id: KCL el: 100 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 5 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Albumin 25% el: 1 cu: CSRU cg: RN io: Albumin 25% Tube Feeding du: ml rt: Intravenous Push
t0: [02:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 8.02956 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.8477 u1: kg x m st: NotStopd t0: [02:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.27586 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 212.922 u1: g * m st: NotStopd t0: [02:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.926 u1: g*m/m2 st: NotStopd t0: [02:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [02:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [02:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [02:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.87696 u1: kg * m st: NotStopd t0: [02:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.40394 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 61.6352 u1: g * m st: NotStopd t0: [02:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 30.3448 u1: g*m/m2 st: NotStopd t0: [02:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 101.478 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 319.018 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 647.572 u1: ... st: NotStopd t0: [02:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 206.329 u1: ml st: NotStopd t0: [02:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 16.3 u1: L/min st: NotStopd
t0: [23:00:00 10/06/2015] tf: [22:00:00 15/06/2015] dt: 7140 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 11/06/2015] tf: [18:39:00 16/06/2015] dt: 8199 id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [02:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 67 vu: ml
t0: [02:00:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: cs162 rs: Manual st: NotStopd
t0: [02:15:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [02:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [02:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [02:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [02:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [02:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 11/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [01:00:00 11/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 200 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd
t0: [01:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [01:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml t0: [02:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 22 vu: ml t0: [02:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 12 vu: ml
t0: [02:30:00 11/06/2015] tf: [18:39:00 16/06/2015] dt: 8169 id: Albumin 25% Tube Feeding el: 1 cu: CSRU cg: RN ai: 168 vo: 50 vu: ml
t0: [23:00:00 11/06/2015] dt: 24 id: Colloids Total el: 3 cu: CSRU cg: RN cv: 50 ap: none
t0: [01:00:00 11/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 588 rs: Final st: NotStopd t0: [01:00:00 11/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 1025 rs: Final st: NotStopd
t0: [01:00:00 11/06/2015] id: Direct Bili (0-0.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd
t0: [03:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.53695 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.4787 u1: kg x m st: NotStopd t0: [03:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.62069 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 223.91 u1: g * m st: NotStopd t0: [03:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 110.345 u1: g*m/m2 st: NotStopd t0: [03:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [03:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [03:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [03:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [03:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.78584 u1: kg * m st: NotStopd t0: [03:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.35961 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 61.3088 u1: g * m st: NotStopd t0: [03:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 30.197 u1: g*m/m2 st: NotStopd t0: [03:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 376.471 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 763.926 u1: ... st: NotStopd t0: [03:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 196.154 u1: ml st: NotStopd t0: [03:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [03:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [03:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.3 u1: L/min st: NotStopd
t0: [03:00:00 11/06/2015] tf: [09:00:00 16/06/2015] dt: 7560 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [03:00:00 11/06/2015] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [03:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [03:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 11.5 vu: ml t0: [03:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [03:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [03:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:01:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.53 rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.53 rs: Final st: NotStopd
t0: [03:01:00 11/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.6061 u1: ml/dl st: NotStopd t0: [03:01:00 11/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2601 u1: ml/min st: NotStopd t0: [03:01:00 11/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1281.8 u1: ml/m/m st: NotStopd t0: [03:01:00 11/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2601 u1: ml/min st: NotStopd t0: [03:01:00 11/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1281.28 u1: ml/m/m st: NotStopd t0: [03:01:00 11/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2601 u1: ml/min st: NotStopd t0: [03:01:00 11/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1281.28 u1: ml/m/m st: NotStopd t0: [03:01:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:01:00 11/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [04:00:00 11/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: rrt v1: 25.8065 u1: ml/cmH st: NotStopd t0: [04:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: rrt v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: rrt v1: 35 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: rrt v1: 7.5 mm st: NotStopd t0: [04:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 11/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: rrt u1: Deg. C st: NotStopd t0: [04:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: rrt v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: rrt v1: 4 st: NotStopd t0: [04:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: rrt v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: rrt v1: 9.1 u1: L/min st: NotStopd t0: [04:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: rrt v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: rrt v1: 36 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: rrt v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: rrt v1: 5 u1: . st: NotStopd t0: [04:00:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: rrt v1: 0 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: rrt v1: 100 u1: % st: NotStopd t0: [04:00:00 11/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: rrt v1: 826 u1: ml/B st: NotStopd t0: [04:00:00 11/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: rrt v1: 800 u1: ml/B st: NotStopd t0: [04:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: rrt v1: SIMV+PS st: NotStopd t0: [04:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: rrt v1: Drager st: NotStopd t0: [04:00:00 11/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: rrt v1: RAMP st: NotStopd
t0: [03:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [04:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.63547 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [04:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.1828 u1: kg x m st: NotStopd t0: [04:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.45813 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 248.758 u1: g * m st: NotStopd t0: [04:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 122.66 u1: g*m/m2 st: NotStopd t0: [04:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [04:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [04:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.6916 u1: kg * m st: NotStopd t0: [04:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.80296 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 73.8072 u1: g * m st: NotStopd t0: [04:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 36.3547 u1: g*m/m2 st: NotStopd t0: [04:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 99.0148 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 407.742 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 827.225 u1: ... st: NotStopd t0: [04:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Thick st: NotStopd t0: [04:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 201.299 u1: ml st: NotStopd t0: [04:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [04:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [04:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.5 u1: L/min st: NotStopd
t0: [04:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [04:00:00 11/06/2015] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [04:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [04:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 11/06/2015] tf: [14:00:00 14/06/2015] dt: 4920 id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [04:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 115 vu: ml t0: [04:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [20:00:00 10/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 10/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 10/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 10/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 10/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 10/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [23:00:00 10/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 10/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 10/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 10/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 10/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 11/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [03:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [03:00:00 11/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 11/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 11/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 11/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd t0: [04:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [04:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [04:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 11/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [04:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [05:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.88177 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [05:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 20.0192 u1: kg x m st: NotStopd t0: [05:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.85222 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 264.003 u1: g * m st: NotStopd t0: [05:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 130.049 u1: g*m/m2 st: NotStopd t0: [05:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [05:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [05:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.0048 u1: kg * m st: NotStopd t0: [05:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.46305 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 66.0008 u1: g * m st: NotStopd t0: [05:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 32.5123 u1: g*m/m2 st: NotStopd t0: [05:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 103.941 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 400 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 812.183 u1: ... st: NotStopd t0: [05:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 210.526 u1: ml st: NotStopd t0: [05:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [05:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [05:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 16 u1: L/min st: NotStopd
t0: [05:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [05:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [05:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [05:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [05:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [05:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 116 rs: Manual st: NotStopd
t0: [05:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:15:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [05:00:00 11/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [05:00:00 11/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd
t0: [05:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [05:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [05:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [05:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [05:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [01:00:00 11/06/2015] tf: [03:00:00 11/06/2015] dt: 120 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 0 vu: ml st: Restart t0: [01:00:00 11/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 3.04875 vu: ml t0: [02:00:00 11/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 4.065 vu: ml t0: [03:00:00 11/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 516 vo: 4.065 vu: ml st: Stopped
t0: [04:00:00 11/06/2015] tf: [18:39:00 16/06/2015] dt: 8079 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [04:00:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/06/2015] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.5 u1: % rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.16 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [05:15:00 11/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 17.4517 u1: ml/dl st: NotStopd t0: [05:15:00 11/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2720 u1: ml/min st: NotStopd t0: [05:15:00 11/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1339.6 u1: ml/m/m st: NotStopd t0: [05:15:00 11/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2720 u1: ml/min st: NotStopd t0: [05:15:00 11/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1339.9 u1: ml/m/m st: NotStopd t0: [05:15:00 11/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2720 u1: ml/min st: NotStopd t0: [05:15:00 11/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1339.9 u1: ml/m/m st: NotStopd
t0: [05:00:00 11/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 232 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.1 rs: Final st: NotStopd
t0: [06:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.68473 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.943 u1: kg x m st: NotStopd t0: [06:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.80296 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 259.515 u1: g * m st: NotStopd t0: [06:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 128.079 u1: g*m/m2 st: NotStopd t0: [06:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [06:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [06:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.304 u1: kg * m st: NotStopd t0: [06:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.61084 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 69.02 u1: g * m st: NotStopd t0: [06:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 33.9901 u1: g*m/m2 st: NotStopd t0: [06:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 100 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 425.641 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 864.583 u1: ... st: NotStopd t0: [06:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 202.597 u1: ml st: NotStopd t0: [06:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [06:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [06:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: cs115 rs: Manual st: NotStopd t0: [06:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.6 u1: L/min st: NotStopd
t0: [06:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [06:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [06:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [06:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 11/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Direct Bili (0-0.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.6 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd
t0: [05:00:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd
t0: [05:00:00 11/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 556 rs: Final st: NotStopd t0: [05:00:00 11/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 852 rs: Final st: NotStopd
t0: [06:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [06:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [07:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [07:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [07:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [07:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [07:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.0936 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.8214 u1: kg x m st: NotStopd t0: [07:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.76847 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 225.243 u1: g * m st: NotStopd t0: [07:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 110.837 u1: g*m/m2 st: NotStopd t0: [07:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [07:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [07:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [07:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.11264 u1: kg * m st: NotStopd t0: [07:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.02463 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 51.9792 u1: g * m st: NotStopd t0: [07:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 25.6158 u1: g*m/m2 st: NotStopd t0: [07:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.6552 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 450 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 913.963 u1: ... st: NotStopd t0: [07:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 182.278 u1: ml st: NotStopd t0: [07:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.4 u1: L/min st: NotStopd
t0: [07:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [07:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:37:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.54 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 17.5137 u1: ml/dl st: NotStopd t0: [07:37:00 11/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2592 u1: ml/min st: NotStopd t0: [07:37:00 11/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1276.2 u1: ml/m/m st: NotStopd t0: [07:37:00 11/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2592 u1: ml/min st: NotStopd t0: [07:37:00 11/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1276.85 u1: ml/m/m st: NotStopd t0: [07:37:00 11/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2592 u1: ml/min st: NotStopd t0: [07:37:00 11/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1276.85 u1: ml/m/m st: NotStopd t0: [07:37:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 172 u1: mmHg rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.54 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [07:37:00 11/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
tf: [19:00:00 11/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 150 u1: mg
t0: [07:58:00 11/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 32 u1: ml/cmH st: NotStopd t0: [07:58:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [07:58:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:58:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:58:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:58:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:58:00 11/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [07:58:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [07:58:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [07:58:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.6 u1: L/min st: NotStopd t0: [07:58:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:58:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:58:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:58:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:58:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:58:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:58:00 11/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 816 u1: ml/B st: NotStopd t0: [07:58:00 11/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 800 u1: ml/B st: NotStopd t0: [07:58:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [07:58:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [07:58:00 11/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.89655 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [08:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [08:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [08:00:00 11/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [08:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.3744 u1: kg x m st: NotStopd t0: [08:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.07882 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 209.358 u1: g * m st: NotStopd t0: [08:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 102.956 u1: g*m/m2 st: NotStopd t0: [08:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 11/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 11/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [08:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.808 u1: kg * m st: NotStopd t0: [08:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.87685 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 48.688 u1: g * m st: NotStopd t0: [08:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.9901 u1: g*m/m2 st: NotStopd t0: [08:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 88.1773 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 434.286 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 881.159 u1: ... st: NotStopd t0: [08:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 179.487 u1: ml st: NotStopd t0: [08:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14 u1: L/min st: NotStopd
t0: [06:00:00 11/06/2015] tf: [18:39:00 16/06/2015] dt: 7959 id: HCL Free Form Intake el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [07:00:00 11/06/2015] id: HCL Free Form Intake el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [08:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [08:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [08:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [08:00:00 11/06/2015] id: HCL Free Form Intake el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [08:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [08:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [08:00:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:15:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:15:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:15:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:15:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:15:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:15:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:15:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:15:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:15:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:15:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:15:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [08:15:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:15:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:15:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:15:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:15:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:15:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 115 rs: Manual st: NotStopd t0: [08:30:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:30:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:30:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:30:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:30:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:30:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:30:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:30:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [08:30:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:30:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 11/06/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [09:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.79803 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 18.0173 u1: kg x m st: NotStopd t0: [09:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.867 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 237.619 u1: g * m st: NotStopd t0: [09:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 117.241 u1: g*m/m2 st: NotStopd t0: [09:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [09:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [09:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [09:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.31664 u1: kg * m st: NotStopd t0: [09:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.12808 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 56.9296 u1: g * m st: NotStopd t0: [09:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.0296 u1: g*m/m2 st: NotStopd t0: [09:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.6552 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 498.551 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1011.76 u1: ... st: NotStopd t0: [09:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 181.579 u1: ml st: NotStopd t0: [09:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [09:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [09:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.8 u1: L/min st: NotStopd
t0: [09:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [09:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [09:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6.5 vu: ml t0: [09:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml t0: [09:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [09:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:02:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.8 u1: % rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.6 u1: gm/dl rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.07 u1: /mic l rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd
t0: [09:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [09:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd
t0: [09:02:00 11/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 288 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.1 rs: Final st: NotStopd
t0: [09:00:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [09:02:00 11/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 734 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12.8 u1: mg/dl rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [09:02:00 11/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.9 rs: Final st: NotStopd
t0: [10:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.99507 u1: ... st: NotStopd t0: [10:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [10:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [10:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [10:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [10:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 11/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 19.1189 u1: kg x m st: NotStopd t0: [10:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 9.40887 u1: ... st: NotStopd t0: [10:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 258.509 u1: g * m st: NotStopd t0: [10:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 127.586 u1: g*m/m2 st: NotStopd t0: [10:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [10:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [10:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [10:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [10:00:00 11/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [10:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.44176 u1: kg * m st: NotStopd t0: [10:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.18719 u1: ... st: NotStopd t0: [10:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 60.0576 u1: g * m st: NotStopd t0: [10:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.6059 u1: g*m/m2 st: NotStopd t0: [10:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 94.5813 u1: ... st: NotStopd t0: [10:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 191.892 u1: ml st: NotStopd t0: [10:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [10:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [10:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.2 u1: L/min st: NotStopd
t0: [10:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [10:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [10:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [10:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [10:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
tf: [19:00:00 11/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 10, 22 dn: 2 m1: Methylprednisolone Na Succ. v1: 125 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [19:00:00 16/06/2015] pt: Unit Dose rt: IV fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Hydralazine HCl f1: VIAL v1: 10 u1: mg tf: [19:00:00 16/06/2015] pt: Unit Dose rt: IV fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [08:00:00 17/06/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [08:00:00 17/06/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [08:00:00 17/06/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 60 u1: mEq m2: SW f2: INJ v2: 50 u2: ml
t0: [10:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:02:00 11/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 536 rs: Final st: NotStopd
t0: [09:00:00 11/06/2015] id: HCL Free Form Intake el: 1 cu: CSRU cg: RN vu: ml t0: [10:00:00 11/06/2015] id: HCL Free Form Intake el: 1 cu: CSRU cg: RN vu: ml
t0: [10:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd t0: [10:00:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN rs: Manual st: NotStopd
t0: [09:02:00 11/06/2015] id: Direct Bili (0-0.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.1 rs: Final st: NotStopd
t0: [10:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN u1: mmHg st: NotStopd t0: [10:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN u1: ... st: NotStopd t0: [10:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.14286 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 26.622 u1: kg x m st: NotStopd t0: [11:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 13.1034 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 341.496 u1: g * m st: NotStopd t0: [11:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 167.98 u1: g*m/m2 st: NotStopd t0: [11:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [11:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [11:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 132 u2: mmHg st: NotStopd t0: [11:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [11:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [11:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.5356 u1: kg * m st: NotStopd t0: [11:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.23645 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 58.1808 u1: g * m st: NotStopd t0: [11:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.67 u1: g*m/m2 st: NotStopd t0: [11:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 91.6256 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 684.138 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1389.36 u1: ... st: NotStopd t0: [11:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 185.897 u1: ml st: NotStopd t0: [11:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [11:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [11:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.5 u1: L/min st: NotStopd
t0: [11:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [11:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [11:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [11:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [11:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [10:58:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 93 rs: Final st: NotStopd
t0: [11:19:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 212 u1: mmHg rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [11:19:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [11:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 11/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 34.7826 u1: ml/cmH st: NotStopd t0: [11:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [11:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [11:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [11:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [11:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10.9 u1: L/min st: NotStopd t0: [11:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [11:00:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [11:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 11/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 820 u1: ml/B st: NotStopd t0: [11:00:00 11/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 800 u1: ml/B st: NotStopd t0: [11:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [11:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [11:00:00 11/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [10:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [11:00:00 11/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.04433 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [12:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [12:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 11/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 11/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [12:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.7529 u1: kg x m st: NotStopd t0: [12:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.78325 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 212.609 u1: g * m st: NotStopd t0: [12:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.926 u1: g*m/m2 st: NotStopd t0: [12:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [12:00:00 11/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 11/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 11/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [12:00:00 11/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd t0: [12:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.47304 u1: kg * m st: NotStopd t0: [12:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.20197 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 60.3704 u1: g * m st: NotStopd t0: [12:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.7537 u1: g*m/m2 st: NotStopd t0: [12:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 95.0739 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 391.608 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 795.455 u1: ... st: NotStopd t0: [12:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 193.243 u1: ml st: NotStopd t0: [12:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [12:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [12:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [12:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.3 u1: L/min st: NotStopd
t0: [06:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [07:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [08:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [09:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [10:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [11:00:00 11/06/2015] id: D5W 500.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [12:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [12:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [12:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [12:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [12:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [11:59:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.8 u1: % rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.04 u1: /mic l rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd
t0: [11:59:00 11/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 288 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 33.7 rs: Final st: NotStopd
t0: [11:59:00 11/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 657 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12.7 u1: mg/dl rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 337 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [11:59:00 11/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd
t0: [11:59:00 11/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 496 rs: Final st: NotStopd
t0: [12:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [13:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.63547 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.7072 u1: kg x m st: NotStopd t0: [13:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.71921 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 218.198 u1: g * m st: NotStopd t0: [13:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 107.389 u1: g*m/m2 st: NotStopd t0: [13:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [13:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [13:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [13:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.8484 u1: kg * m st: NotStopd t0: [13:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.38916 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 59.7448 u1: g * m st: NotStopd t0: [13:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.4089 u1: g*m/m2 st: NotStopd t0: [13:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 94.0887 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 381.935 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 774.869 u1: ... st: NotStopd t0: [13:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 191.358 u1: ml st: NotStopd t0: [13:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [13:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [13:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [13:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.5 u1: L/min st: NotStopd
t0: [13:00:00 11/06/2015] id: D5/.45NS IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [13:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [13:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [13:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 523 ap: none
t0: [13:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [13:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [13:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [13:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [13:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 11/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [13:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 11/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [13:50:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 38 u1: % rs: Final st: NotStopd t0: [13:50:00 11/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [13:50:00 11/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [14:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.14286 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [14:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [14:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [14:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.3536 u1: kg x m st: NotStopd t0: [14:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.57143 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 211.834 u1: g * m st: NotStopd t0: [14:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.433 u1: g*m/m2 st: NotStopd t0: [14:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 11/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [14:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [14:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.5216 u1: kg * m st: NotStopd t0: [14:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.71921 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 67.4016 u1: g * m st: NotStopd t0: [14:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 33.202 u1: g*m/m2 st: NotStopd t0: [14:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 87.1921 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 419.31 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 851.541 u1: ... st: NotStopd t0: [14:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 176.829 u1: ml st: NotStopd t0: [14:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [14:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [14:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [14:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.5 u1: L/min st: NotStopd
t0: [14:00:00 11/06/2015] tf: [16:00:00 12/06/2015] dt: 1560 id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [13:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [14:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 11/06/2015] tf: [06:00:00 13/06/2015] dt: 2400 id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [14:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [14:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 9 vu: ml t0: [14:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [14:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [14:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [19:00:00 16/06/2015] pt: Unit Dose rt: IM fr: Q4H:PRN m1: Haloperidol f1: VIAL v1: 1-5 u1: mg tf: [19:00:00 16/06/2015] pt: Unit Dose rt: IV fr: Q1-2H:PRN m1: Morphine Sulfate f1: SYR v1: 1-5 u1: mg
t0: [11:59:00 11/06/2015] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 9.5 rs: Final st: NotStopd
t0: [14:02:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [14:02:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.61 rs: Final st: NotStopd t0: [14:02:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [15:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.53695 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 11/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.4787 u1: kg x m st: NotStopd t0: [15:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.62069 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 221.626 u1: g * m st: NotStopd t0: [15:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 109.36 u1: g*m/m2 st: NotStopd t0: [15:00:00 11/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [15:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 11/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 11/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [15:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 5.41008 u1: kg * m st: NotStopd t0: [15:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.66502 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 68.5984 u1: g * m st: NotStopd t0: [15:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 33.7931 u1: g*m/m2 st: NotStopd t0: [15:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 95.5665 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 381.699 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 774.536 u1: ... st: NotStopd t0: [15:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 193.671 u1: ml st: NotStopd t0: [15:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 90 u1: % st: NotStopd t0: [15:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [15:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [15:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 11/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.3 u1: L/min st: NotStopd
t0: [15:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [15:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [15:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 9 vu: ml t0: [15:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [15:00:00 11/06/2015] tf: [16:00:00 11/06/2015] dt: 60 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 3 vu: ml
t0: [15:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 119 rs: Manual st: NotStopd
t0: [15:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [15:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [15:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 11/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [15:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [15:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [15:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [15:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [15:00:00 11/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [15:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 11/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 730 u1: ml/B st: NotStopd t0: [15:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [20:00:00 10/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 77.7 u1: kg st: NotStopd t0: [15:00:00 11/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 77.7 u1: kg st: NotStopd t0: [15:27:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd
t0: [15:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [15:00:00 11/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.53695 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [16:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [16:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.4383 u1: kg x m st: NotStopd t0: [16:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.07882 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 213.806 u1: g * m st: NotStopd t0: [16:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 105.419 u1: g*m/m2 st: NotStopd t0: [16:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [16:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.78584 u1: kg * m st: NotStopd t0: [16:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.35961 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 62.2472 u1: g * m st: NotStopd t0: [16:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 30.6404 u1: g*m/m2 st: NotStopd t0: [16:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 98.0296 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 360.784 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 732.095 u1: ... st: NotStopd t0: [16:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 198.701 u1: ml st: NotStopd t0: [16:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [16:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [16:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [16:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.3 u1: L/min st: NotStopd
t0: [16:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [16:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [16:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 7 vu: ml t0: [16:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [16:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [16:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 110 rs: Manual st: NotStopd
t0: [16:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 11/06/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 516 vo: 0 st: D/C'd
t0: [17:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.63547 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 18.1288 u1: kg x m st: NotStopd t0: [17:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.91626 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 229.242 u1: g * m st: NotStopd t0: [17:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 112.808 u1: g*m/m2 st: NotStopd t0: [17:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [17:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [17:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [17:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.6376 u1: kg * m st: NotStopd t0: [17:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.28571 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 58.6432 u1: g * m st: NotStopd t0: [17:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.867 u1: g*m/m2 st: NotStopd t0: [17:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 397.419 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 806.283 u1: ... st: NotStopd t0: [17:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 196.203 u1: ml st: NotStopd t0: [17:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [17:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [17:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [17:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [17:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 15.5 u1: L/min st: NotStopd
t0: [17:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [17:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 2 vu: ml t0: [17:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [17:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [17:00:00 11/06/2015] tf: [22:00:00 11/06/2015] dt: 300 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [17:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [18:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.24138 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [18:00:00 11/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [18:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [18:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [18:00:00 11/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 11/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.7933 u1: kg x m st: NotStopd t0: [18:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.27586 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 199.92 u1: g * m st: NotStopd t0: [18:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 98.5222 u1: g*m/m2 st: NotStopd t0: [18:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [18:00:00 11/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 11/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [18:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.39864 u1: kg * m st: NotStopd t0: [18:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.67488 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 40.46 u1: g * m st: NotStopd t0: [18:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 19.9507 u1: g*m/m2 st: NotStopd t0: [18:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.2069 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 391.837 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 795.58 u1: ... st: NotStopd t0: [18:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 175 u1: ml st: NotStopd t0: [18:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [18:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [18:00:00 11/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.7 u1: L/min st: NotStopd
t0: [18:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 125 vu: ml t0: [18:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [18:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [18:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 130 rs: Manual st: NotStopd
io: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
t0: [18:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [18:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [18:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
id: D5W el: 1 cu: CSRU cg: RN io: D5W 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [19:00:00 11/06/2015] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 11/06/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 11/06/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 11/06/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [18:00:00 11/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 11/06/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 250 ap: none
t0: [18:00:00 11/06/2015] id: IV #2 D/C Date el: 0 cu: CSRU cg: RN v1: 6 v2: 12 st: NotStopd
t0: [19:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.74877 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.7193 u1: kg x m st: NotStopd t0: [19:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.24138 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 210.582 u1: g * m st: NotStopd t0: [19:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 103.941 u1: g*m/m2 st: NotStopd t0: [19:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [19:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [19:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.35376 u1: kg * m st: NotStopd t0: [19:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.65025 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 47.9808 u1: g * m st: NotStopd t0: [19:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.6453 u1: g*m/m2 st: NotStopd t0: [19:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [19:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 414.599 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 841.481 u1: ... st: NotStopd t0: [19:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 195.714 u1: ml st: NotStopd t0: [19:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [19:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [19:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.7 u1: L/min st: NotStopd
t0: [19:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [19:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [19:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [19:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [19:00:00 12/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: Methylprednisolone Na Succ. v1: 125 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [19:00:00 12/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [19:00:00 12/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 150 u1: mg
t0: [20:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [20:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 11/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.2592 u1: kg x m st: NotStopd t0: [20:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.53695 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 227.732 u1: g * m st: NotStopd t0: [20:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 112.315 u1: g*m/m2 st: NotStopd t0: [20:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [20:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [20:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.41088 u1: kg * m st: NotStopd t0: [20:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.6798 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 50.9048 u1: g * m st: NotStopd t0: [20:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 25.0739 u1: g*m/m2 st: NotStopd t0: [20:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 97.0443 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 478.788 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 972.308 u1: ... st: NotStopd t0: [20:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 197.015 u1: ml st: NotStopd t0: [20:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [20:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [20:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [20:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.2 u1: L/min st: NotStopd
t0: [20:00:00 11/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 11/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: cs129 rs: Manual st: NotStopd
t0: [19:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [19:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [20:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [20:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [20:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [20:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [20:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml
t0: [20:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 11/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 11/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.25616 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.8539 u1: kg x m st: NotStopd t0: [21:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.3399 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 211.698 u1: g * m st: NotStopd t0: [21:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.433 u1: g*m/m2 st: NotStopd t0: [21:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [21:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 11/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:00:00 11/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [21:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.4544 u1: kg * m st: NotStopd t0: [21:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.69951 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 49.232 u1: g * m st: NotStopd t0: [21:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 24.2365 u1: g*m/m2 st: NotStopd t0: [21:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.1626 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 510.236 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1035.14 u1: ... st: NotStopd t0: [21:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 11/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [21:00:00 11/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [21:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 181.429 u1: ml st: NotStopd t0: [21:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [21:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [21:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.7 u1: L/min st: NotStopd
t0: [21:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [21:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [21:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [21:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml t0: [21:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml
t0: [21:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 35 ap: none
t0: [21:15:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [21:15:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [22:00:00 11/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 11/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [22:00:00 11/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [22:00:00 11/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 11/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 11/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [22:00:00 11/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [22:00:00 11/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [22:00:00 11/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [22:00:00 11/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 11/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [22:00:00 11/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [22:00:00 11/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [22:00:00 11/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [22:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [22:00:00 11/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 702 u1: ml/B st: NotStopd t0: [22:00:00 11/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [22:00:00 11/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.05911 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.2188 u1: kg x m st: NotStopd t0: [22:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.99507 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 215.016 u1: g * m st: NotStopd t0: [22:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 105.911 u1: g*m/m2 st: NotStopd t0: [22:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [22:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [22:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [22:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.3456 u1: kg * m st: NotStopd t0: [22:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.65025 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 50.592 u1: g * m st: NotStopd t0: [22:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 24.9261 u1: g*m/m2 st: NotStopd t0: [22:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 91.6256 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 507.317 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1029.7 u1: ... st: NotStopd t0: [22:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 186.364 u1: ml st: NotStopd t0: [22:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [22:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [22:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.3 u1: L/min st: NotStopd
t0: [22:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [22:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4.5 vu: ml t0: [22:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [22:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:58:00 11/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [21:58:00 11/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 89 rs: Final st: NotStopd
t0: [22:07:00 11/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [22:07:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [22:07:00 11/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [21:58:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 8.2266 u1: ... st: NotStopd t0: [21:58:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: 3161 v1: 758.202 u1: ... st: NotStopd t0: [21:58:00 11/06/2015] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 16.6989 u1: L/min st: NotStopd t0: [22:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.3 u1: % rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.6 u1: gm/dl rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.04 u1: /mic l rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd
t0: [22:00:00 11/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.9 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd
t0: [22:00:00 11/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 531 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 39 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12.4 u1: mg/dl rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 340 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [22:00:00 11/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.9 rs: Final st: NotStopd
t0: [23:00:00 11/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 11/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 11/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.86207 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 11/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 11/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 13.7564 u1: kg x m st: NotStopd t0: [23:00:00 11/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.79803 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 202.3 u1: g * m st: NotStopd t0: [23:00:00 11/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 99.5074 u1: g*m/m2 st: NotStopd t0: [23:00:00 11/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:00:00 11/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [23:00:00 11/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 11/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 11/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [23:00:00 11/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.39864 u1: kg * m st: NotStopd t0: [23:00:00 11/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.67488 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 49.98 u1: g * m st: NotStopd t0: [23:00:00 11/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 24.6305 u1: g*m/m2 st: NotStopd t0: [23:00:00 11/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 11/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.2069 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 517.647 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1051.19 u1: ... st: NotStopd t0: [23:00:00 11/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 11/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 175 u1: ml st: NotStopd t0: [23:00:00 11/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 89 u1: % st: NotStopd t0: [23:00:00 11/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 11/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [23:00:00 11/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [23:00:00 11/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 11/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 11.9 u1: L/min st: NotStopd
t0: [23:00:00 11/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 11/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [23:00:00 11/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [23:00:00 11/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [23:00:00 11/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 19 cv: 4088.53 ap: none t0: [23:00:00 11/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 19 cv: 4756.53 ap: none
t0: [22:00:00 11/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 486 rs: Final st: NotStopd
t0: [22:00:00 11/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 250 rs: Final st: NotStopd
t0: [20:00:00 11/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 11/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 11/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 11/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 11/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 11/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 11/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 11/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 11/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 11/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 11/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 11/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 11/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [22:00:00 11/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 11/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:30:00 11/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [22:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [23:00:00 11/06/2015] tf: [08:00:00 12/06/2015] dt: 540 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [23:00:00 11/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [23:00:00 11/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml
t0: [23:00:00 11/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -104 cv: -104 ap: none t0: [23:00:00 11/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -104 cv: 2016.53 ap: none t0: [23:00:00 11/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -104 cv: 10197.8 ap: carryForward
tf: [23:00:00 12/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [20:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [20:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [20:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [23:00:00 11/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 11/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 11/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 11/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [23:00:00 11/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [23:00:00 11/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.94581 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.0666 u1: kg x m st: NotStopd t0: [00:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.42365 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 231.186 u1: g * m st: NotStopd t0: [00:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 113.793 u1: g*m/m2 st: NotStopd t0: [00:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [00:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [00:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 12/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [00:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.21872 u1: kg * m st: NotStopd t0: [00:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.07882 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 57.1472 u1: g * m st: NotStopd t0: [00:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.1281 u1: g*m/m2 st: NotStopd t0: [00:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 94.0887 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 453.901 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 920.863 u1: ... st: NotStopd t0: [00:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [00:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 190.541 u1: ml st: NotStopd t0: [00:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [00:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [00:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [00:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.1 u1: L/min st: NotStopd
t0: [00:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [00:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [00:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [00:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [00:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:25:00 11/06/2015] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd
t0: [01:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.0026 u1: kg x m st: NotStopd t0: [01:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.89655 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 202.613 u1: g * m st: NotStopd t0: [01:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 100 u1: g*m/m2 st: NotStopd t0: [01:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [01:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [01:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [01:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.41088 u1: kg * m st: NotStopd t0: [01:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.6798 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 49.3544 u1: g * m st: NotStopd t0: [01:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 24.335 u1: g*m/m2 st: NotStopd t0: [01:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 94.0887 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 424.242 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 861.538 u1: ... st: NotStopd t0: [01:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 191.304 u1: ml st: NotStopd t0: [01:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [01:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [01:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [01:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.2 u1: L/min st: NotStopd
t0: [01:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [01:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [01:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [01:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [01:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml
t0: [01:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 145 cv: 145 ap: none t0: [23:00:00 12/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -112.366 cv: -112.366 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 32.634 cv: 1515.64 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 32.634 cv: 2002.64 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 2355 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -112.366 cv: -976.364 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 145 cv: 2979 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN pv: 15 cv: 103 ap: none t0: [23:00:00 12/06/2015] dt: 24 id: Drain #2 Total Out el: 3 cu: CSRU cg: RN pv: 10 cv: 301 ap: none t0: [23:00:00 12/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -112.366 cv: 9221.48 ap: carryForward
t0: [20:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 11/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [20:00:00 11/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 11/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 11/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 11/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 11/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 11/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 11/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [22:00:00 11/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 11/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 11/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [22:00:00 11/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [00:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 12/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [02:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.60099 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [02:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.0371 u1: kg x m st: NotStopd t0: [02:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.88177 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 239.36 u1: g * m st: NotStopd t0: [02:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 117.734 u1: g*m/m2 st: NotStopd t0: [02:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [02:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [02:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [02:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 77.7 u1: kg st: NotStopd t0: [02:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.82704 u1: kg * m st: NotStopd t0: [02:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.8867 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [02:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.1281 u1: g*m/m2 st: NotStopd t0: [02:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 98.5222 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 477.612 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 969.697 u1: ... st: NotStopd t0: [02:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 200 u1: ml st: NotStopd t0: [02:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [02:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [02:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [02:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.4 u1: L/min st: NotStopd
t0: [02:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [02:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [02:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 12/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [02:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [02:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml
t0: [00:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [00:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [00:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 716 u1: ml/B st: NotStopd t0: [00:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [03:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [03:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [03:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [03:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [03:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [03:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [03:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:00:00 12/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [03:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [03:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [03:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 623 u1: ml/B st: NotStopd t0: [03:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [03:51:00 12/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [03:51:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 151 rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.51 rs: Final st: NotStopd t0: [03:51:00 12/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd
t0: [03:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.79803 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.9528 u1: kg x m st: NotStopd t0: [03:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.88177 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 231.2 u1: g * m st: NotStopd t0: [03:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 113.793 u1: g*m/m2 st: NotStopd t0: [03:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [03:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [03:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [03:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.94128 u1: kg * m st: NotStopd t0: [03:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.94089 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [03:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.1281 u1: g*m/m2 st: NotStopd t0: [03:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 98.5222 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 446.377 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 905.882 u1: ... st: NotStopd t0: [03:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 200 u1: ml st: NotStopd t0: [03:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [03:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [03:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [03:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.8 u1: L/min st: NotStopd t0: [04:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.29064 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.3101 u1: kg x m st: NotStopd t0: [04:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.52217 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 243.277 u1: g * m st: NotStopd t0: [04:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 119.704 u1: g*m/m2 st: NotStopd t0: [04:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [04:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [04:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.62944 u1: kg * m st: NotStopd t0: [04:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.28079 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 65.0624 u1: g * m st: NotStopd t0: [04:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 32.069 u1: g*m/m2 st: NotStopd t0: [04:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 102.463 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 416.216 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 844.993 u1: ... st: NotStopd t0: [04:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 208.451 u1: ml st: NotStopd t0: [04:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [04:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [04:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [04:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.8 u1: L/min st: NotStopd
t0: [03:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:30:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:30:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [03:30:00 12/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [03:30:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd
t0: [03:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [03:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [03:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [03:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [03:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 8 vu: ml t0: [04:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [04:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [04:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [04:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 185 vu: ml t0: [04:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:00:00 12/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [04:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 12/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [04:00:00 12/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:14:00 12/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd
t0: [03:25:00 12/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.9 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.3 u1: % rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.6 u1: gm/dl rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 88 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.9 rs: Final st: NotStopd t0: [04:14:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 2.85714 u1: ... st: NotStopd t0: [04:14:00 12/06/2015] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 5.78039 u1: L/min st: NotStopd
t0: [03:25:00 12/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 242 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.9 rs: Final st: NotStopd
t0: [03:25:00 12/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 522 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.8 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 397 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [03:25:00 12/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11.3 rs: Final st: NotStopd
t0: [02:15:00 12/06/2015] id: Vancomycin/Peak Drug Level el: 0 cu: CSRU cg: 3161 v1: 27.3 rs: Final st: NotStopd
t0: [03:25:00 12/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 503 rs: Final st: NotStopd
t0: [05:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.84729 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.5561 u1: kg x m st: NotStopd t0: [05:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.19212 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 205.251 u1: g * m st: NotStopd t0: [05:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 100.985 u1: g*m/m2 st: NotStopd t0: [05:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [05:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [05:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.96984 u1: kg * m st: NotStopd t0: [05:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.95567 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 55.9776 u1: g * m st: NotStopd t0: [05:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 27.5862 u1: g*m/m2 st: NotStopd t0: [05:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 96.5517 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 397.122 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 805.839 u1: ... st: NotStopd t0: [05:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 195.775 u1: ml st: NotStopd t0: [05:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [05:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [05:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [05:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.9 u1: L/min st: NotStopd
t0: [05:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [05:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [05:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [05:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 12/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 31.25 u1: units st: NotStopd t0: [06:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [06:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [06:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [06:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [06:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [06:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 12/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [06:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:00:00 12/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 31.25 u1: units st: NotStopd t0: [06:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [06:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [06:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [06:00:00 12/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [06:00:00 12/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.48 u1: L st: NotStopd t0: [06:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [06:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.65025 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.0748 u1: kg x m st: NotStopd t0: [06:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.42365 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 221.34 u1: g * m st: NotStopd t0: [06:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 108.867 u1: g*m/m2 st: NotStopd t0: [06:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [06:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [06:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [06:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.4064 u1: kg * m st: NotStopd t0: [06:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.17241 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [06:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.1281 u1: g*m/m2 st: NotStopd t0: [06:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.2069 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 497.778 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1010.53 u1: ... st: NotStopd t0: [06:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [06:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [06:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 175.325 u1: ml st: NotStopd t0: [06:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [06:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [06:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [06:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.5 u1: L/min st: NotStopd
t0: [05:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [05:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [06:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [06:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [06:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [06:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [06:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [06:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:34:00 12/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.9183 u1: ml/dl st: NotStopd t0: [06:34:00 12/06/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 2295 u1: ml/min st: NotStopd t0: [06:34:00 12/06/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 1130.5 u1: ml/m/m st: NotStopd t0: [06:34:00 12/06/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 2295 u1: ml/min st: NotStopd t0: [06:34:00 12/06/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 1130.54 u1: ml/m/m st: NotStopd t0: [06:34:00 12/06/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 2295 u1: ml/min st: NotStopd t0: [06:34:00 12/06/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 1130.54 u1: ml/m/m st: NotStopd t0: [06:34:00 12/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [06:34:00 12/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:30:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 116 rs: Manual st: NotStopd t0: [07:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [07:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.7978 u1: kg x m st: NotStopd t0: [07:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.78325 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 213.03 u1: g * m st: NotStopd t0: [07:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.926 u1: g*m/m2 st: NotStopd t0: [07:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [07:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [07:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [07:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [07:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.12896 u1: kg * m st: NotStopd t0: [07:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.03448 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 55.6784 u1: g * m st: NotStopd t0: [07:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 27.4384 u1: g*m/m2 st: NotStopd t0: [07:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 87.6847 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 472.727 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 960 u1: ... st: NotStopd t0: [07:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 178.378 u1: ml st: NotStopd t0: [07:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [07:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.2 u1: L/min st: NotStopd
t0: [07:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [07:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4.5 vu: ml t0: [07:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [06:30:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:14:00 12/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 72 rs: Final st: NotStopd
t0: [07:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [07:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [07:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [07:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [07:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [07:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7 u1: cmH2O st: NotStopd t0: [07:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [07:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 12/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [07:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [07:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.25616 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 12/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [08:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [08:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 12/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.2357 u1: kg x m st: NotStopd t0: [08:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.9803 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 216.05 u1: g * m st: NotStopd t0: [08:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 106.404 u1: g*m/m2 st: NotStopd t0: [08:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [08:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [08:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Sputum Cx st: NotStopd t0: [08:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.318 u1: kg * m st: NotStopd t0: [08:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.12808 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 57.46 u1: g * m st: NotStopd t0: [08:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 28.3251 u1: g*m/m2 st: NotStopd t0: [08:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 83.2512 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 522.835 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1060.7 u1: ... st: NotStopd t0: [08:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 169.333 u1: ml st: NotStopd t0: [08:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [08:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [08:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [08:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Manual st: NotStopd t0: [08:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.7 u1: L/min st: NotStopd
t0: [08:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [08:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [08:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [08:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [08:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [08:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
id: Propofol el: 200 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
tf: [19:00:00 12/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Methylprednisolone Na Succ. v1: 85 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
id: N/A el: 2 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [09:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 7.24138 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.9928 u1: kg x m st: NotStopd t0: [09:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.867 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 199.512 u1: g * m st: NotStopd t0: [09:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 98.5222 u1: g*m/m2 st: NotStopd t0: [09:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [09:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [09:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [09:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.998 u1: kg * m st: NotStopd t0: [09:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.46305 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 55.42 u1: g * m st: NotStopd t0: [09:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 27.2906 u1: g*m/m2 st: NotStopd t0: [09:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 80.2956 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 435.374 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 883.978 u1: ... st: NotStopd t0: [09:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 163.333 u1: ml st: NotStopd t0: [09:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 85 u1: % st: NotStopd t0: [09:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 14.7 u1: L/min st: NotStopd
t0: [09:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [09:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 3 vu: ml t0: [09:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [09:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [09:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [09:00:00 12/06/2015] tf: [18:39:00 16/06/2015] dt: 6339 id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [08:00:00 13/06/2015] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 1000 u1: mg
t0: [09:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 188 rs: Manual st: NotStopd
t0: [09:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:15:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:15:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:15:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:15:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [09:15:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [09:15:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:15:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:15:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:15:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:15:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:15:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:15:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:15:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 13/06/2015] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [10:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.69951 u1: ... st: NotStopd t0: [10:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 12/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [10:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [10:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 12/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [10:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [10:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.4614 u1: kg x m st: NotStopd t0: [10:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.12808 u1: ... st: NotStopd t0: [10:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 182.77 u1: g * m st: NotStopd t0: [10:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 90.1478 u1: g*m/m2 st: NotStopd t0: [10:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [10:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 12/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:00:00 12/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.99392 u1: kg * m st: NotStopd t0: [10:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.45813 u1: ... st: NotStopd t0: [10:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 55.4472 u1: g * m st: NotStopd t0: [10:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 27.2906 u1: g*m/m2 st: NotStopd t0: [10:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 74.3842 u1: ... st: NotStopd t0: [10:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 151.111 u1: ml st: NotStopd t0: [10:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [10:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [10:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [10:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [10:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd t0: [10:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.6 u1: L/min st: NotStopd
t0: [10:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [10:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [10:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [10:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [10:00:00 12/06/2015] tf: [12:00:00 12/06/2015] dt: 120 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [10:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.84729 u1: ... st: NotStopd t0: [11:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.7451 u1: kg x m st: NotStopd t0: [11:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.24138 u1: ... st: NotStopd t0: [11:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 184.579 u1: g * m st: NotStopd t0: [11:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 91.133 u1: g*m/m2 st: NotStopd t0: [11:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.7808 u1: kg * m st: NotStopd t0: [11:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.86207 u1: ... st: NotStopd t0: [11:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 47.328 u1: g * m st: NotStopd t0: [11:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.3005 u1: g*m/m2 st: NotStopd t0: [11:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 85.7143 u1: ... st: NotStopd t0: [11:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 173.75 u1: ml st: NotStopd t0: [11:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [11:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [11:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [11:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.9 u1: L/min st: NotStopd
t0: [11:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [11:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [11:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [11:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 390 vu: ml t0: [11:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 2 vu: ml
t0: [11:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:15:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: PCT v1: 117 rs: Manual st: NotStopd
t0: [10:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.35468 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [12:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 12/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [12:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [12:00:00 12/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.3861 u1: kg x m st: NotStopd t0: [12:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.0936 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 191.814 u1: g * m st: NotStopd t0: [12:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 94.5813 u1: g*m/m2 st: NotStopd t0: [12:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [12:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.85968 u1: kg * m st: NotStopd t0: [12:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.90148 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 51.4624 u1: g * m st: NotStopd t0: [12:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 25.3695 u1: g*m/m2 st: NotStopd t0: [12:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 84.7291 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 452.713 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 919.685 u1: ... st: NotStopd t0: [12:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 172 u1: ml st: NotStopd t0: [12:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [12:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [12:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [12:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.9 u1: L/min st: NotStopd
t0: [12:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [12:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [12:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [12:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [12:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [12:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 143 rs: Manual st: NotStopd
t0: [12:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.35468 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.4914 u1: kg x m st: NotStopd t0: [13:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.12808 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 232.669 u1: g * m st: NotStopd t0: [13:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 114.778 u1: g*m/m2 st: NotStopd t0: [13:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [13:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [13:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.21056 u1: kg * m st: NotStopd t0: [13:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.07389 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 59.4048 u1: g * m st: NotStopd t0: [13:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.2611 u1: g*m/m2 st: NotStopd t0: [13:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.6552 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 527.132 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1070.87 u1: ... st: NotStopd t0: [13:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 181.69 u1: ml st: NotStopd t0: [13:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [13:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [13:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [13:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.9 u1: L/min st: NotStopd
t0: [13:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [13:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [13:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [13:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [13:00:00 12/06/2015] tf: [16:00:00 12/06/2015] dt: 180 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 2 vu: ml
t0: [13:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 12/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [13:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [13:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [13:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [13:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [13:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [13:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [13:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7 u1: cmH2O st: NotStopd t0: [13:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 6.8 u1: L/min st: NotStopd t0: [13:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [13:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [13:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [13:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [13:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [14:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.25616 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [14:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [14:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [14:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [14:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [14:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.7538 u1: kg x m st: NotStopd t0: [14:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.27586 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 232.179 u1: g * m st: NotStopd t0: [14:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 114.286 u1: g*m/m2 st: NotStopd t0: [14:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [14:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [14:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.79984 u1: kg * m st: NotStopd t0: [14:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.87192 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 52.6592 u1: g * m st: NotStopd t0: [14:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 25.9606 u1: g*m/m2 st: NotStopd t0: [14:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.6995 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 554.331 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1124.6 u1: ... st: NotStopd t0: [14:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 176.389 u1: ml st: NotStopd t0: [14:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [14:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [14:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [14:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [14:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.7 u1: L/min st: NotStopd
t0: [14:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [14:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [14:00:00 12/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [14:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [14:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:03:00 12/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [14:03:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.48 rs: Final st: NotStopd t0: [14:03:00 12/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [14:15:00 12/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.8 u1: % rs: Final st: NotStopd t0: [14:15:00 12/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.9 u1: gm/dl rs: Final st: NotStopd
t0: [14:15:00 12/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [14:15:00 12/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [14:15:00 12/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd
t0: [14:56:00 12/06/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 53 rs: Final st: NotStopd
t0: [14:56:00 12/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36 u1: % rs: Final st: NotStopd t0: [14:56:00 12/06/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [15:00:00 12/06/2015] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 12/06/2015] id: INV Line#2 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 12/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:56:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 8.02956 u1: ... st: NotStopd t0: [14:56:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 916.563 u1: ... st: NotStopd t0: [14:56:00 12/06/2015] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 16.3106 u1: L/min st: NotStopd t0: [15:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.46798 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: RN v1: 6 v2: 13 st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: RIC v2: Right Antecub st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [15:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [15:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 9 st: NotStopd t0: [15:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [15:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.247 u1: kg x m st: NotStopd t0: [15:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.48768 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 200.546 u1: g * m st: NotStopd t0: [15:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 99.0148 u1: g*m/m2 st: NotStopd t0: [15:00:00 12/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [15:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [15:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [15:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.62304 u1: kg * m st: NotStopd t0: [15:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.78325 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 47.6544 u1: g * m st: NotStopd t0: [15:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.4975 u1: g*m/m2 st: NotStopd t0: [15:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 71.9212 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 663.063 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1345.52 u1: ... st: NotStopd t0: [15:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 146.053 u1: ml st: NotStopd t0: [15:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [15:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [15:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [15:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [15:00:00 12/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 11.1 u1: L/min st: NotStopd
t0: [15:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [15:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 3 vu: ml t0: [15:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [15:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [15:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [15:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:15:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:15:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:15:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:15:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:15:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [15:15:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [15:15:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [15:15:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:15:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:15:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:15:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [15:15:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/06/2015] id: IV #1 Reason DC'D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 12/06/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 12/06/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 12/06/2015] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [16:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.6 u1: L/min st: NotStopd t0: [16:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [16:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [16:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [14:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.5665 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 12/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [16:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [16:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 12/06/2015] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 6 v2: 13 st: NotStopd t0: [16:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 12/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 13.2165 u1: kg x m st: NotStopd t0: [16:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 185.966 u1: g * m st: NotStopd t0: [16:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 91.6256 u1: g*m/m2 st: NotStopd t0: [16:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 9 u2: mmHg st: NotStopd t0: [16:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.61256 u1: kg * m st: NotStopd t0: [16:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.28571 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 36.7608 u1: g * m st: NotStopd t0: [16:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 18.1281 u1: g*m/m2 st: NotStopd t0: [16:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 78.3251 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 573.451 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1163.38 u1: ... st: NotStopd t0: [16:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 159.155 u1: ml st: NotStopd t0: [16:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [16:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [16:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 11.3 u1: L/min st: NotStopd
t0: [16:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [16:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [16:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:30:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [17:45:00 10/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [04:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [05:00:00 11/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 77.7 u1: kg st: NotStopd t0: [05:00:00 11/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [07:33:00 12/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 67 rs: Final st: NotStopd
t0: [23:00:00 12/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 487 ap: none
t0: [15:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 154 rs: Manual st: NotStopd t0: [16:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [14:15:00 12/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: RN v1: 78 rs: Final st: NotStopd
t0: [17:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.00985 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 13.6054 u1: kg x m st: NotStopd t0: [17:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.69951 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 202.966 u1: g * m st: NotStopd t0: [17:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 100 u1: g*m/m2 st: NotStopd t0: [17:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [17:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.98656 u1: kg * m st: NotStopd t0: [17:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.47291 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 44.5536 u1: g * m st: NotStopd t0: [17:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 21.9704 u1: g*m/m2 st: NotStopd t0: [17:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.6552 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 498.361 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1011.65 u1: ... st: NotStopd t0: [17:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 182.09 u1: ml st: NotStopd t0: [17:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [17:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [17:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.2 u1: L/min st: NotStopd
t0: [17:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [17:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [17:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [16:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 12/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.10837 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [18:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [18:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 12/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.8403 u1: kg x m st: NotStopd t0: [18:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.29064 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 192.685 u1: g * m st: NotStopd t0: [18:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 95.0739 u1: g*m/m2 st: NotStopd t0: [18:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [18:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [18:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 12/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.20416 u1: kg * m st: NotStopd t0: [18:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.57635 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 41.6024 u1: g * m st: NotStopd t0: [18:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 20.4926 u1: g*m/m2 st: NotStopd t0: [18:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 79.3103 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 529.032 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1073.65 u1: ... st: NotStopd t0: [18:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 161.039 u1: ml st: NotStopd t0: [18:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [18:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [18:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [18:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.4 u1: L/min st: NotStopd
t0: [18:00:00 12/06/2015] tf: [10:00:00 14/06/2015] dt: 2400 id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [18:00:00 12/06/2015] tf: [07:00:00 14/06/2015] dt: 2220 id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [18:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [18:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [18:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [18:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [18:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [16:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [17:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vu: ml t0: [18:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml
t0: [18:00:00 12/06/2015] tf: [08:00:00 13/06/2015] dt: 840 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [18:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [19:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.96059 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.4813 u1: kg x m st: NotStopd t0: [19:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.14286 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 198.669 u1: g * m st: NotStopd t0: [19:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 98.0296 u1: g*m/m2 st: NotStopd t0: [19:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [19:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [19:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [19:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.12664 u1: kg * m st: NotStopd t0: [19:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.54187 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 42.8944 u1: g * m st: NotStopd t0: [19:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 21.133 u1: g*m/m2 st: NotStopd t0: [19:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 81.7734 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 542.149 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1100.67 u1: ... st: NotStopd t0: [19:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 165.753 u1: ml st: NotStopd t0: [19:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [19:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [19:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [19:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.1 u1: L/min st: NotStopd
t0: [19:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 12/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [23:00:00 12/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [19:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [19:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 12/06/2015] tf: [06:00:00 13/06/2015] dt: 660 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.6 vu: ml t0: [19:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [19:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [19:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [18:34:00 12/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd
t0: [23:00:00 12/06/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: 3161 cv: 220 ap: none
tf: [20:00:00 12/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: CAP v1: 300 u1: mg tf: [12:00:00 13/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 08, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [18:00:00 13/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 300 u1: mg tf: [19:00:00 13/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Methylprednisolone Na Succ. v1: 85 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [20:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.2069 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [20:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.5938 u1: kg x m st: NotStopd t0: [20:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.68473 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 216.58 u1: g * m st: NotStopd t0: [20:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 106.897 u1: g*m/m2 st: NotStopd t0: [20:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [20:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.25584 u1: kg * m st: NotStopd t0: [20:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.60591 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 45.22 u1: g * m st: NotStopd t0: [20:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 22.266 u1: g*m/m2 st: NotStopd t0: [20:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.2069 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 539.683 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1095.01 u1: ... st: NotStopd t0: [20:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 175 u1: ml st: NotStopd t0: [20:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [20:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [20:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [20:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.6 u1: L/min st: NotStopd
t0: [20:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 12/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [20:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 12/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [20:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [20:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [20:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [20:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [20:00:00 12/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 12/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [20:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 148 rs: Manual st: NotStopd
t0: [21:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.86207 u1: ... st: NotStopd t0: [21:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.0511 u1: kg x m st: NotStopd t0: [21:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.43842 u1: ... st: NotStopd t0: [21:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 206.162 u1: g * m st: NotStopd t0: [21:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 101.478 u1: g*m/m2 st: NotStopd t0: [21:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [21:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [21:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.91312 u1: kg * m st: NotStopd t0: [21:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.4335 u1: ... st: NotStopd t0: [21:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 39.9024 u1: g * m st: NotStopd t0: [21:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 19.6552 u1: g*m/m2 st: NotStopd t0: [21:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 80.2956 u1: ... st: NotStopd t0: [21:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 163.014 u1: ml st: NotStopd t0: [21:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [21:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [21:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 11.9 u1: L/min st: NotStopd
t0: [21:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 12/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [21:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [21:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [21:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [21:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [21:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [22:00:00 12/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [22:00:00 12/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 12/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [22:00:00 12/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [22:00:00 12/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 12/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 12/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [22:00:00 12/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [22:00:00 12/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [22:00:00 12/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.48 u1: L/min st: NotStopd t0: [22:00:00 12/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 12/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [22:00:00 12/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [22:00:00 12/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [22:00:00 12/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [22:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [22:00:00 12/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Clear v2: Thick st: NotStopd t0: [22:00:00 12/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 12/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [22:00:00 12/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [22:00:00 12/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 12/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [22:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [22:00:00 12/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 12/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 12/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 12/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 12/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 12/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 12/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.2 u1: L/min st: NotStopd
t0: [22:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 12/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [22:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [22:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [22:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [22:00:00 12/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 12/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 12/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [22:00:00 12/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 12/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [22:00:00 12/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 12/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 12/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 12/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 12/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 12/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [22:00:00 12/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 12/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 12/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 12/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 12/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 12/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [22:00:00 12/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 12/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 12/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 12/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 12/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 12/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 12/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable st: NotStopd t0: [22:00:00 12/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 12/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 12/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 12/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 12/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 12/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [22:00:00 12/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 12/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [22:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 139 rs: Manual st: NotStopd
t0: [22:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [22:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.0544 u1: kg x m st: NotStopd t0: [22:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.42365 u1: ... st: NotStopd t0: [22:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 229.976 u1: g * m st: NotStopd t0: [22:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 113.3 u1: g*m/m2 st: NotStopd t0: [22:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [22:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [22:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.41088 u1: kg * m st: NotStopd t0: [22:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.6798 u1: ... st: NotStopd t0: [22:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 45.9952 u1: g * m st: NotStopd t0: [22:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 22.6601 u1: g*m/m2 st: NotStopd t0: [22:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 87.6847 u1: ... st: NotStopd t0: [22:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 178.378 u1: ml st: NotStopd t0: [22:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [22:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [22:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 12/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 12/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.96059 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 12/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 12/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 12/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 12/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.3167 u1: kg x m st: NotStopd t0: [23:00:00 12/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.04433 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 198.778 u1: g * m st: NotStopd t0: [23:00:00 12/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 98.0296 u1: g*m/m2 st: NotStopd t0: [23:00:00 12/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:00:00 12/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [23:00:00 12/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 12/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [23:00:00 12/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.45576 u1: kg * m st: NotStopd t0: [23:00:00 12/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.70443 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 47.9808 u1: g * m st: NotStopd t0: [23:00:00 12/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.6453 u1: g*m/m2 st: NotStopd t0: [23:00:00 12/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 12/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 82.7586 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 12/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 168.056 u1: ml st: NotStopd t0: [23:00:00 12/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 12/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 12/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [23:00:00 12/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [23:00:00 12/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 12/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.1 u1: L/min st: NotStopd
t0: [22:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 12/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 12/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 591.597 u1: ... st: NotStopd t0: [21:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1201.37 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 145 rs: Manual st: NotStopd
t0: [00:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [00:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 13/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [00:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [23:00:00 12/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 12/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [23:00:00 12/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [23:00:00 12/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [23:00:00 12/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [23:00:00 12/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [23:00:00 12/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [00:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [00:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [00:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [00:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [00:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [23:00:00 12/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 12/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 528.926 u1: ... st: NotStopd t0: [23:00:00 12/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1073.83 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.30542 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.319 u1: kg x m st: NotStopd t0: [00:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.53695 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 213.03 u1: g * m st: NotStopd t0: [00:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 104.926 u1: g*m/m2 st: NotStopd t0: [00:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [00:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [00:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [00:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.65568 u1: kg * m st: NotStopd t0: [00:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.80296 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 50.8368 u1: g * m st: NotStopd t0: [00:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 25.0246 u1: g*m/m2 st: NotStopd t0: [00:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 87.6847 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 506.25 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1026.94 u1: ... st: NotStopd t0: [00:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 177.778 u1: ml st: NotStopd t0: [00:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [00:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [00:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.8 u1: L/min st: NotStopd
t0: [00:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [01:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [01:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [01:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [01:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 13/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 9 cv: 1345.8 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 50.7 cv: 1872 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 50 cv: 2492 ap: none
t0: [00:19:00 13/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.5 rs: Final st: NotStopd t0: [00:19:00 13/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 37.1 u1: % rs: Final st: NotStopd t0: [00:19:00 13/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 u1: gm/dl rs: Final st: NotStopd t0: [00:19:00 13/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [00:19:00 13/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.21 u1: /mic l rs: Final st: NotStopd t0: [00:19:00 13/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.5 rs: Final st: NotStopd
t0: [00:00:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 13/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 13/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [00:00:00 13/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 13/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 13/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [00:00:00 13/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 13/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 13/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 13/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 13/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 13/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [00:00:00 13/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 13/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Manual st: NotStopd
t0: [01:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.3202 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 13.8067 u1: kg x m st: NotStopd t0: [01:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 6.79803 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 191.76 u1: g * m st: NotStopd t0: [01:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 94.5813 u1: g*m/m2 st: NotStopd t0: [01:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [01:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [01:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.23136 u1: kg * m st: NotStopd t0: [01:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.59113 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 44.88 u1: g * m st: NotStopd t0: [01:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 22.1182 u1: g*m/m2 st: NotStopd t0: [01:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 73.8916 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 651.852 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1323.31 u1: ... st: NotStopd t0: [01:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 150 u1: ml st: NotStopd t0: [01:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [01:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [01:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [01:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 10.8 u1: L/min st: NotStopd
t0: [01:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [01:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [23:00:00 13/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 13/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 0.700001 cv: 0.700001 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 0.700001 cv: -884.996 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 50 cv: 2757 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: RN cv: 75 ap: none t0: [23:00:00 13/06/2015] dt: 24 id: Drain #2 Total Out el: 3 cu: CSRU cg: RN cv: 90 ap: none t0: [23:00:00 13/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 0.700001 cv: 8336.48 ap: carryForward
t0: [02:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [02:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 13/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 13/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [02:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [02:00:00 13/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [02:00:00 13/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [02:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [02:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [02:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [02:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [02:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [02:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [00:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5.66502 u1: ... st: NotStopd t0: [02:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 14.3888 u1: kg x m st: NotStopd t0: [02:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.0936 u1: ... st: NotStopd t0: [02:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 200.192 u1: g * m st: NotStopd t0: [02:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 98.5222 u1: g*m/m2 st: NotStopd t0: [02:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [02:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [02:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.128 u1: kg * m st: NotStopd t0: [02:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.54187 u1: ... st: NotStopd t0: [02:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 43.52 u1: g * m st: NotStopd t0: [02:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 21.4286 u1: g*m/m2 st: NotStopd t0: [02:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 78.8177 u1: ... st: NotStopd t0: [02:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 159.722 u1: ml st: NotStopd t0: [02:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [02:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [02:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [02:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 11.5 u1: L/min st: NotStopd
t0: [02:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 591.304 u1: ... st: NotStopd t0: [02:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1199.29 u1: ... st: NotStopd
t0: [00:19:00 13/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd
t0: [02:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [03:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.25616 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.063 u1: kg x m st: NotStopd t0: [03:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.93103 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 226.399 u1: g * m st: NotStopd t0: [03:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 111.33 u1: g*m/m2 st: NotStopd t0: [03:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [03:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [03:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [03:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [03:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.79984 u1: kg * m st: NotStopd t0: [03:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.87192 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 53.5568 u1: g * m st: NotStopd t0: [03:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 26.4039 u1: g*m/m2 st: NotStopd t0: [03:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 88.1773 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 548.031 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1111.82 u1: ... st: NotStopd t0: [03:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 178.873 u1: ml st: NotStopd t0: [03:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [03:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [03:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [03:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.7 u1: L/min st: NotStopd
t0: [03:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd
t0: [03:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [03:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [03:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [03:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [04:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.10837 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 15.6835 u1: kg x m st: NotStopd t0: [04:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.73399 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 221.34 u1: g * m st: NotStopd t0: [04:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 108.867 u1: g*m/m2 st: NotStopd t0: [04:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [04:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [04:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.3728 u1: kg * m st: NotStopd t0: [04:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.6601 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 47.6 u1: g * m st: NotStopd t0: [04:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 23.4483 u1: g*m/m2 st: NotStopd t0: [04:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 86.2069 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 548.387 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1112.93 u1: ... st: NotStopd t0: [04:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 174.648 u1: ml st: NotStopd t0: [04:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [04:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [04:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [04:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 12.4 u1: L/min st: NotStopd
t0: [04:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:37:00 13/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:37:00 13/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.37 rs: Final st: NotStopd
t0: [04:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [04:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd
t0: [04:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 13/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 13/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [04:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [04:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [04:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:35:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:35:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:35:00 13/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:35:00 13/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:35:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:35:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:35:00 13/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:35:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [04:35:00 13/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:35:00 13/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:35:00 13/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [04:35:00 13/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:35:00 13/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [04:35:00 13/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:35:00 13/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:35:00 13/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:35:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:35:00 13/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [04:35:00 13/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:35:00 13/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [04:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 110 vo: 10 vu: ml t0: [04:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [04:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [04:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [04:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [04:42:00 13/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 37.5 u1: % rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 13.1 u1: gm/dl rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.23 u1: /mic l rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd
t0: [04:42:00 13/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 525 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 73 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.2 rs: Final st: NotStopd t0: [05:25:00 13/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 69.0476 u1: units st: NotStopd t0: [05:25:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:25:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:25:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:25:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:25:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 11 st: NotStopd t0: [05:25:00 13/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [05:25:00 13/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 69.0476 u1: units st: NotStopd t0: [05:25:00 13/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:25:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:25:00 13/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:25:00 13/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.42 u1: L st: NotStopd t0: [05:25:00 13/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [05:25:00 13/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP st: NotStopd t0: [05:25:00 13/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:42:00 13/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [04:42:00 13/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28.5 rs: Final st: NotStopd
t0: [04:42:00 13/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 664 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ra: 10 ru: ml/hr
t0: [06:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 116 vo: 0 st: D/C'd t0: [06:00:00 13/06/2015] id: D5W 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 110 vo: 0 st: D/C'd
id: .9% Normal Saline el: 2 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [05:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.40394 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.3264 u1: kg x m st: NotStopd t0: [05:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.52217 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 241.237 u1: g * m st: NotStopd t0: [05:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 118.719 u1: g*m/m2 st: NotStopd t0: [05:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [05:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [05:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [05:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.0664 u1: kg * m st: NotStopd t0: [05:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.00493 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 56.6168 u1: g * m st: NotStopd t0: [05:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 27.8818 u1: g*m/m2 st: NotStopd t0: [05:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 89.1626 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 541.538 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1100 u1: ... st: NotStopd t0: [05:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 180.556 u1: ml st: NotStopd t0: [05:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [05:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [05:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13 u1: L/min st: NotStopd t0: [06:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.4532 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [06:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 16.5689 u1: kg x m st: NotStopd t0: [06:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.17734 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 209.957 u1: g * m st: NotStopd t0: [06:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 103.448 u1: g*m/m2 st: NotStopd t0: [06:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [06:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [06:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.27584 u1: kg * m st: NotStopd t0: [06:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.10837 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 54.1824 u1: g * m st: NotStopd t0: [06:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 26.6995 u1: g*m/m2 st: NotStopd t0: [06:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 81.7734 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 506.87 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1029.46 u1: ... st: NotStopd t0: [06:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 165.823 u1: ml st: NotStopd t0: [06:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [06:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [06:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [06:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.1 u1: L/min st: NotStopd
t0: [05:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [06:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [06:00:00 13/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [06:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 13/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [06:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [06:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 13/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 13/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [06:00:00 13/06/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 13/06/2015] tf: [18:39:00 16/06/2015] dt: 5139 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 13/06/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 116 vo: 14.634 vu: ml t0: [05:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [05:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [06:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [06:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [06:00:00 13/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [06:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [06:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [23:00:00 13/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [05:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd t0: [06:00:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [07:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 6.50246 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/06/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 17.593 u1: kg x m st: NotStopd t0: [07:00:00 13/06/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 8.66995 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 217.246 u1: g * m st: NotStopd t0: [07:00:00 13/06/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 106.897 u1: g*m/m2 st: NotStopd t0: [07:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [07:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [07:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [07:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/06/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.84704 u1: kg * m st: NotStopd t0: [07:00:00 13/06/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.38916 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 59.8536 u1: g * m st: NotStopd t0: [07:00:00 13/06/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 29.5074 u1: g*m/m2 st: NotStopd t0: [07:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 13/06/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 80.2956 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 539.394 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1095.38 u1: ... st: NotStopd t0: [07:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 162.963 u1: ml st: NotStopd t0: [07:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [07:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 13/06/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [07:00:00 13/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [07:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 13.2 u1: L/min st: NotStopd
t0: [07:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [07:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [07:00:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [07:00:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 13/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 13/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [07:00:00 13/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [07:00:00 13/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 13/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.6 u1: L/min st: NotStopd t0: [07:00:00 13/06/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 0 u1: cmH2O st: NotStopd t0: [07:00:00 13/06/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:00:00 13/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [07:00:00 13/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 13/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 440 u1: ml/B st: NotStopd t0: [07:00:00 13/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 13/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [09:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: PCWP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: PVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: Stroke Volume el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: Swan SVO2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: C.O. (fick) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 13/06/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
pt: TPN
t0: [08:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 13/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/06/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [08:00:00 13/06/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 13/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 13/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:30:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:30:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [08:30:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [08:30:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:30:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [08:30:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:30:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:30:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:30:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [08:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [08:30:00 13/06/2015] tf: [18:00:00 15/06/2015] dt: 3450 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [08:30:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [08:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/06/2015] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 13/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 138 rs: Manual st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 13/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [09:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [09:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [09:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [09:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 144 rs: Manual st: NotStopd
tf: [19:00:00 16/06/2015] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [10:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [10:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 13/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [10:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 13/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 13/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 13/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [10:00:00 13/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [10:00:00 13/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [10:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [10:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [10:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [10:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 95 vu: ml t0: [10:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [10:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 13/06/2015] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 13/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [11:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 13/06/2015] id: NBP el: 0 cu: CSRU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [11:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 173 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [11:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [11:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [11:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [11:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [11:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/06/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [11:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 152 rs: Manual st: NotStopd
t0: [11:30:00 13/06/2015] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Extubated st: NotStopd
t0: [09:00:00 13/06/2015] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [11:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [11:00:00 13/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [11:00:00 13/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [11:00:00 13/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd
t0: [11:00:00 13/06/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd
t0: [11:00:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd
t0: [12:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [12:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [12:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [12:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [12:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 13/06/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [12:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [12:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 13/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [12:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [12:00:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [12:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [12:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 159 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [12:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [12:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 13/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 4 vu: ml t0: [12:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [12:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 140 rs: Manual st: NotStopd
tf: [11:00:00 14/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide f1: INJ v1: 40 u1: mg
t0: [12:39:00 13/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [12:39:00 13/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [12:39:00 13/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [12:39:00 13/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 13/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 13/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [13:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [13:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [13:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [13:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [13:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [13:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [19:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 14, 2 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [14:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [14:00:00 13/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 13/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 13/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [14:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 13/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 13/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 13/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 13/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [14:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 166 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [14:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 13/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 13/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 13/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [14:00:00 13/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [14:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [14:00:00 13/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 13/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [14:00:00 13/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [14:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [14:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 330 vu: ml
t0: [14:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:09:00 13/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.33 rs: Final st: NotStopd t0: [14:09:00 13/06/2015] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:09:00 13/06/2015] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:09:00 13/06/2015] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.42 u1: pH rs: Final st: NotStopd
t0: [13:30:00 13/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 68 rs: Final st: NotStopd
t0: [07:45:00 13/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 214 rs: Final st: NotStopd
t0: [15:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [15:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [15:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [15:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [15:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:30:00 13/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 450 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 79 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [13:30:00 13/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.8 rs: Final st: NotStopd
t0: [15:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [15:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [13:30:00 13/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 687 rs: Final st: NotStopd
t0: [16:00:00 13/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 13/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [16:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [16:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [16:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [16:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: Serous v2: Copious st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [16:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [16:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [16:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 160 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: At Rest st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Repositioned st: NotStopd t0: [16:00:00 13/06/2015] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [16:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [16:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [16:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [16:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd
t0: [16:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2 vu: ml t0: [16:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 42 vu: ml
t0: [16:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 129 rs: Manual st: NotStopd
t0: [15:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 132 rs: Manual st: NotStopd
t0: [23:00:00 13/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 216 ap: none
t0: [16:30:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [16:30:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:30:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:30:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:30:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:30:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [16:30:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:30:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 164 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:30:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [16:30:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:30:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [16:30:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:30:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [16:30:00 13/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:30:00 13/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [16:30:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:30:00 13/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
io: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 41.7 ru: ml/hr
id: TPN el: 1 cu: CSRU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [17:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [17:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [17:00:00 13/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 13/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 13/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [17:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [17:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [17:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [17:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [17:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 0 vu: ml
t0: [17:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: -1 vo: 25 vu: ml
t0: [18:00:00 13/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 13/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [18:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 13/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: Repositioned st: NotStopd t0: [18:00:00 13/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [18:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 13/06/2015] tf: [18:39:00 16/06/2015] dt: 4359 id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [18:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2 vu: ml t0: [18:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [18:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [18:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 13/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 13/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd
t0: [18:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd
t0: [18:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [19:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [19:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [19:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [19:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [19:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [19:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 13/06/2015] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 13/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [19:00:00 13/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd
t0: [18:30:00 13/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 68 rs: Final st: NotStopd
t0: [20:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [20:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [20:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd
t0: [20:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [20:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [20:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [19:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [19:00:00 13/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 13/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [20:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [20:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [08:00:00 14/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: CAP v1: 300 u1: mg tf: [19:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 08, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [19:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Methylprednisolone Na Succ. v1: 40 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [19:00:00 14/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 300 u1: mg
t0: [20:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 13/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [20:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [20:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 13/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd
t0: [21:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [21:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 13/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 13/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [21:00:00 13/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [21:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [21:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [21:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [21:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [22:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [22:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [21:00:00 13/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [22:00:00 13/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [22:00:00 13/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 13/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 13/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 13/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [22:00:00 13/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 13/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [22:00:00 13/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 13/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 13/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [22:00:00 13/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 13/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 13/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [19:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 172 rs: Manual st: NotStopd t0: [20:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Manual st: NotStopd t0: [21:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 168 rs: Manual st: NotStopd t0: [22:00:00 13/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 13/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [22:00:00 13/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [22:00:00 13/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 13/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [22:00:00 13/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 13/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 13/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 13/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [22:00:00 13/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 13/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 13/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 13/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [22:00:00 13/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [22:00:00 13/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 13/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 13/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 13/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 13/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 13/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [22:00:00 13/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 13/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 13/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 13/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 13/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 13/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd
t0: [22:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [22:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [22:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
tf: [21:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Methylprednisolone Na Succ. v1: 40 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [23:00:00 13/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 13/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 13/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 13/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 13/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [23:00:00 13/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [23:00:00 13/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [23:00:00 13/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 13/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 13/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 13/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [23:00:00 13/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [23:00:00 13/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [23:00:00 13/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 41.7 cv: 250.2 ap: none
t0: [00:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [00:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [00:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [00:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [00:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 14/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 14/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [00:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [00:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [00:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 14/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [00:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd
t0: [00:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [00:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [00:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [00:25:00 14/06/2015] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 24.2 rs: Final st: NotStopd
t0: [01:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [01:00:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [01:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [01:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [01:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [22:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 168 rs: Manual st: NotStopd t0: [23:00:00 13/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Manual st: NotStopd t0: [00:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 163 rs: Manual st: NotStopd t0: [01:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [01:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 167 rs: Manual st: NotStopd
t0: [02:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [02:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [02:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [02:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [02:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [02:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [02:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [02:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [02:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [02:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [02:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [02:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [02:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [02:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [02:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [02:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [03:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [03:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd
t0: [02:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [02:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [02:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [04:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [04:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd
t0: [03:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [03:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [03:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [04:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [04:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [04:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [04:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 14/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [04:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd
t0: [03:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [03:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [03:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:00:00 14/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves st: NotStopd t0: [04:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 14/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [03:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [04:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [04:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:27:00 14/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 131 u1: mmHg rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.32 rs: Final st: NotStopd t0: [04:27:00 14/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd
t0: [05:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [05:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [05:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [05:00:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [05:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [05:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd
t0: [05:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [05:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [05:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 183 rs: Manual st: NotStopd t0: [03:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 167 rs: Manual st: NotStopd t0: [04:30:00 14/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 40.3 u1: % rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 14.1 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.55 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd t0: [05:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 161 rs: Manual st: NotStopd
t0: [05:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:30:00 14/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 25.4 rs: Final st: NotStopd
t0: [04:32:00 14/06/2015] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 35.4 rs: Final st: NotStopd
t0: [04:30:00 14/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 226 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.2 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:30:00 14/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [04:30:00 14/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 534 rs: Final st: NotStopd
t0: [06:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [06:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [06:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [06:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [06:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [06:00:00 14/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [06:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:00:00 14/06/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [06:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [06:00:00 14/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [06:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [06:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [06:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [06:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml
t0: [06:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [06:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [06:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [06:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 155 rs: Manual st: NotStopd
t0: [04:30:00 14/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [07:00:00 14/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [21:00:00 13/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [21:00:00 13/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vu: ml t0: [01:00:00 14/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [01:00:00 14/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vu: ml t0: [06:00:00 14/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [06:00:00 14/06/2015] id: Drain Out #1 JP Medial el: 1 cu: CSRU cg: RN vu: ml
t0: [23:00:00 14/06/2015] dt: 24 id: Drain #2 Total Out el: 3 cu: CSRU cg: RN cv: 45 ap: none
t0: [07:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [07:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [07:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [07:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [07:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [08:00:00 14/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 14/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 14/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 14/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 14/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 14/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [08:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [08:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 14/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 14/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml
t0: [07:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [08:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [08:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd
t0: [08:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd t0: [09:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [09:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [09:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [09:00:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [09:00:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [09:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [09:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [09:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [09:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 14/06/2015] id: Drain Out #2 JP Lateral el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [09:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [09:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: *NF* Basiliximab f1: VIAL v1: 20 u1: mg m2: NS f2: INJ v2: 50 u2: ml
t0: [10:00:00 14/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [10:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 14/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [10:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [10:00:00 14/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 14/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 14/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [10:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [10:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 164 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [10:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [10:00:00 14/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 14/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [10:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [10:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [10:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [10:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 560 vu: ml
t0: [10:30:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 158 rs: Manual st: NotStopd
t0: [10:30:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.5 vu: ml t0: [10:30:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 20.85 vu: ml t0: [10:30:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml
t0: [10:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
pt: TPN
t0: [10:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 14/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.5 vu: ml t0: [11:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 20.85 vu: ml t0: [11:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [11:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [11:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:30:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:30:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:30:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [11:30:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [11:30:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [11:30:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [11:30:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 14/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [12:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [12:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [12:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [12:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 14/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [11:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 145 rs: Manual st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 14/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [12:00:00 14/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 14/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [12:00:00 14/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [13:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [13:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [13:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [13:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [13:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [13:00:00 14/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [13:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [13:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 14/06/2015] id: Gastric Nasogastric el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [14:00:00 14/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 14/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 14/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 14/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [14:00:00 14/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 14/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 14/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 14/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [14:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 14/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [14:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [14:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [14:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [14:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [14:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 38 vu: ml
t0: [14:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd
t0: [14:30:00 14/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 70 rs: Final st: NotStopd
t0: [23:00:00 14/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: 3161 cv: 30 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: Drain #1 Total Out el: 3 cu: CSRU cg: 3161 cv: 0 ap: none
t0: [15:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [15:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [15:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 3 vu: ml t0: [15:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [07:47:00 14/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 227 rs: Final st: NotStopd
t0: [15:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 145 rs: Manual st: NotStopd
t0: [15:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 14/06/2015] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 14/06/2015] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 6 v2: 15 st: NotStopd t0: [16:00:00 14/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 14/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [16:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 14/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 14/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 14/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [16:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [16:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 14/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 14/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 14/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [16:00:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [16:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [16:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 14/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 14/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [16:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [16:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [16:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd
t0: [16:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 503 ap: none
t0: [17:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [17:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [17:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [17:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [17:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 7 vu: ml t0: [17:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [17:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [17:00:00 14/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:00:00 14/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 14/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [18:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [18:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [18:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [18:00:00 14/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 14/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93.6667 u1: mmHg st: NotStopd t0: [18:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [18:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 41.7 vu: ml t0: [18:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [18:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [18:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [18:39:00 14/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:39:00 14/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 14/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 14/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:39:00 14/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.32 rs: Final st: NotStopd
t0: [19:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [19:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [19:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [19:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [19:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [19:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [19:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [19:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 14/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [18:30:00 14/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [20:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [20:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [20:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [20:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [20:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 14/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
tf: [15:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [18:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 08, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [18:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [18:00:00 15/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 350 u1: mg
t0: [20:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [20:00:00 14/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 157 rs: Manual st: NotStopd
t0: [20:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [20:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 4 vu: ml t0: [20:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [21:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 14/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [21:00:00 14/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd
t0: [21:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [21:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [21:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [21:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [21:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [21:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [21:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [21:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 14/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 73 rs: Final st: NotStopd
t0: [22:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [22:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 95.3333 u1: mmHg st: NotStopd t0: [22:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 152 rs: Manual st: NotStopd t0: [23:00:00 14/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 14/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 14/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 14/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 14/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 14/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 14/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 14/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 14/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Manual st: NotStopd
t0: [23:00:00 14/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [22:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [22:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [23:00:00 14/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 14/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [23:00:00 14/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [23:00:00 14/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 14/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 14/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -45.6 cv: -45.6 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 711 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 44.4 cv: 1014.3 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 54.4 cv: 2258.3 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 100 cv: 3348 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -45.6 cv: -1234.7 ap: none t0: [23:00:00 14/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 100 cv: 3493 ap: none t0: [23:00:00 14/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -45.6 cv: 7101.79 ap: carryForward
t0: [22:00:00 14/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 14/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 14/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 14/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [22:00:00 14/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 14/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 14/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 14/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 14/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 14/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [22:00:00 14/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 14/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 14/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 14/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 14/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [22:00:00 14/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 14/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [22:00:00 14/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [22:00:00 14/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [22:00:00 14/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [22:00:00 14/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 14/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [00:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [00:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [00:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [00:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 99.6667 u1: mmHg st: NotStopd t0: [00:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [21:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [21:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [22:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [23:00:00 14/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 14/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [00:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd
t0: [22:00:00 14/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 14/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 14/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [22:00:00 14/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 14/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [22:00:00 14/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 14/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 14/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 14/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 14/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [00:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [00:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [22:00:00 14/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 14/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 14/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 14/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 14/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [01:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [01:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [01:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 15/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 15/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 499.3 cv: 499.3 ap: none t0: [23:00:00 15/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 296 cv: 601 ap: none t0: [23:00:00 15/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: -1 pv: 83.3 cv: 1260.1 ap: none t0: [23:00:00 15/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 599.3 cv: 2296.1 ap: none t0: [23:00:00 15/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 100 cv: 2830 ap: none t0: [23:00:00 15/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 499.3 cv: -533.9 ap: carryForward t0: [23:00:00 15/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 100 cv: 2830 ap: carryForward t0: [23:00:00 15/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 499.3 cv: 6567.88 ap: carryForward
t0: [01:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [01:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 104.333 u1: mmHg st: NotStopd t0: [01:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Manual st: NotStopd t0: [01:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 145 rs: Manual st: NotStopd
t0: [01:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [02:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [02:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd
t0: [02:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [02:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [02:00:00 15/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 15/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [01:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [02:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [02:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [02:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [02:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [02:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [02:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [02:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [02:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [02:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd
t0: [03:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [03:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [03:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [03:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [03:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [03:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [04:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [04:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [04:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [04:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [05:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 15/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 15/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [03:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd t0: [04:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [04:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [03:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [04:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [05:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [05:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd
t0: [04:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [04:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [04:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [05:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [05:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [05:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [22:00:00 14/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [00:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [02:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [04:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 15/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [04:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 15/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [05:00:00 15/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 38.9 u1: % rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.33 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd
t0: [05:00:00 15/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 68 rs: Final st: NotStopd
t0: [05:00:00 15/06/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 22.7 rs: Final st: NotStopd
t0: [05:00:00 15/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 366 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [05:00:00 15/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [06:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [06:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [06:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [06:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [06:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [06:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97.3333 u1: mmHg st: NotStopd t0: [06:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [06:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [06:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [06:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [06:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [06:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd
t0: [06:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [06:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [06:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [06:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [06:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [07:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [07:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [07:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [07:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [07:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [07:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [08:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [08:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 13 u1: points st: NotStopd t0: [08:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [08:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [08:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [08:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Confused st: NotStopd t0: [08:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [08:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [08:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [08:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [08:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [08:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [08:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [08:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [08:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [08:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 210 vu: ml
t0: [08:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [08:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [08:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [08:00:00 15/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 15/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 121 rs: Manual st: NotStopd
t0: [09:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [09:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [09:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [09:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 89.6667 u1: mmHg st: NotStopd t0: [09:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [09:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [09:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 400 vu: ml
t0: [09:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 136cs rs: Manual st: NotStopd
t0: [08:00:00 15/06/2015] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 11.9 rs: Final st: NotStopd
tf: [19:00:00 14/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 10 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [18:00:00 15/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [10:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [10:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 44.4 vu: ml t0: [10:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml t0: [10:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [10:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
pt: TPN tf: [19:00:00 16/06/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin f1: INJ v1: 100 u1: UNIT m2: NS f2: INJ v2: 100 u2: ml tf: [19:00:00 16/06/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT
t0: [10:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [10:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [10:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [11:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [11:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [11:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [11:00:00 15/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [11:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [11:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [11:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [11:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [11:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [11:00:00 15/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [11:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [11:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [11:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [11:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [11:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [11:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Confused st: NotStopd t0: [11:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 134 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [11:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 95.3333 u1: mmHg st: NotStopd t0: [11:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [11:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [11:00:00 15/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [11:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [11:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [11:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [11:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [11:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [11:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 88 u1: % st: NotStopd t0: [11:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [11:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [11:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [11:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [11:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 107 rs: Manual st: NotStopd t0: [11:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [11:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [11:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [11:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml
t0: [11:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [12:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [12:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [12:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [12:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [12:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [12:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [12:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [12:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [12:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [12:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [13:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [13:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [13:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [13:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [13:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [13:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [13:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [13:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [13:00:00 15/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [13:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [13:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [13:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [13:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [13:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Confused st: NotStopd t0: [13:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 134 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [13:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [13:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [13:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [13:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [13:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [13:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [13:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [13:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [13:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [13:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [13:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 205 rs: Manual st: NotStopd t0: [13:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [13:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [13:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [13:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [13:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [14:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [14:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [14:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [14:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [14:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml
t0: [14:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 234 rs: Manual st: NotStopd t0: [15:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [15:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [15:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [15:00:00 15/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [15:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [15:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [15:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [15:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [15:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [15:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [15:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [15:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [15:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Confused st: NotStopd t0: [15:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [15:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [15:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [15:00:00 15/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [15:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [15:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [15:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [15:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 15/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [15:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [15:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [15:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [15:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [15:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [15:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 3 vu: ml t0: [15:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [14:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 15/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 352 rs: Final st: NotStopd
t0: [16:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [16:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [16:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 89.6667 u1: mmHg st: NotStopd t0: [16:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [16:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [16:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml
t0: [16:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 224 rs: Manual st: NotStopd t0: [17:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [17:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [17:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [17:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [17:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [17:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [17:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [17:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [17:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [17:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [17:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 15/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [17:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [17:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [17:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [17:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 91.3333 u1: mmHg st: NotStopd t0: [17:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [17:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [17:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [17:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 15/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [17:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [17:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [17:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [17:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [17:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [17:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [17:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [17:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml t0: [17:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5 vu: ml t0: [17:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 130 vu: ml
t0: [17:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [18:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [18:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [18:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 88.3333 u1: mmHg st: NotStopd t0: [18:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [18:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [18:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [18:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 193 rs: Manual st: NotStopd
t0: [18:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 44.4 vu: ml
t0: [18:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
tf: [19:00:00 16/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 08, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml tf: [19:00:00 16/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 350 u1: mg
t0: [19:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [19:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 15/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 15/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [20:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 15/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 15/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [20:00:00 15/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [20:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [20:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 15/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [20:00:00 15/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 15/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [20:00:00 15/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 15/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 15/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [20:00:00 15/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 15/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 15/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [20:00:00 15/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 15/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 15/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [20:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 15/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 15/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 15/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 15/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 15/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 15/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [20:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [19:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [20:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [20:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 185 vu: ml
t0: [23:00:00 15/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 0 ap: carryForward
io: D5/.45NS IV Infusions el: 2 cu: CSRU cg: -1 ra: 100 ru: ml/hr
id: D5/.45NS el: 2 cu: CSRU cg: -1 io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [20:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 15/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [21:00:00 15/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [21:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 15/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 15/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [21:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 63 u1: BPM st: NotStopd t0: [21:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [21:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 102.333 u1: mmHg st: NotStopd t0: [21:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [21:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [21:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [21:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [21:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [21:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [21:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd
t0: [21:00:00 15/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 15/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [21:15:00 15/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [21:15:00 15/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd
t0: [21:30:00 15/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [21:30:00 15/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [21:45:00 15/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [21:45:00 15/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd
t0: [21:00:00 15/06/2015] id: D5/.45NS IV Infusions el: 2 cu: CSRU cg: -1 ai: 112 vo: 0 vu: ml
id: Heparin el: 100 cu: CSRU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
t0: [22:00:00 15/06/2015] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ru: ml/hr io: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ra: 100 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: .45% Normal Saline el: 1 cu: CSRU cg: -1 io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 296 rs: Manual st: NotStopd t0: [20:45:00 15/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:45:00 15/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Moderate st: NotStopd t0: [22:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 15/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 15/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [22:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 15/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [22:00:00 15/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [22:00:00 15/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [22:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [22:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 15/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [22:00:00 15/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [22:00:00 15/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 15/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 15/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [22:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 15/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [22:00:00 15/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [22:00:00 15/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 15/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [22:00:00 15/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [22:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 15/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 15/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [22:00:00 15/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [22:00:00 15/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 15/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 15/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [22:00:00 15/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Moderate st: NotStopd t0: [22:00:00 15/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 15/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [22:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [22:00:00 15/06/2015] tf: [18:39:00 16/06/2015] dt: 1239 id: D5/.45NS IV Infusions el: 2 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [22:00:00 15/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 0 vu: ml t0: [22:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [22:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [22:00:00 15/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [22:00:00 15/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [22:00:00 15/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd
t0: [22:00:00 15/06/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 0 vu: ml
t0: [23:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [23:00:00 15/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [23:00:00 15/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 15/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 15/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [23:00:00 15/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 15/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [23:00:00 15/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 99.3333 u1: mmHg st: NotStopd t0: [23:00:00 15/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 15/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 15/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 15/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml st: Stopped t0: [23:00:00 15/06/2015] tf: [18:39:00 16/06/2015] dt: 1179 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [23:00:00 15/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [23:00:00 15/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 15/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 pv: 220 cv: 435 ap: none
t0: [23:00:00 15/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 181 rs: Manual st: NotStopd
t0: [00:00:00 16/06/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [00:00:00 16/06/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [00:00:00 16/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [00:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [00:00:00 16/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 16/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/06/2015] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [00:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [00:00:00 16/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 16/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [00:00:00 16/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [00:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [00:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 16/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [00:00:00 16/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 16/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [00:00:00 16/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 16/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 16/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 16/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 16/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 16/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 89.6667 u1: mmHg st: NotStopd t0: [00:00:00 16/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 16/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [00:00:00 16/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [00:00:00 16/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 16/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 16/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 16/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [00:00:00 16/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 16/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 16/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [00:00:00 16/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 16/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 16/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 16/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 16/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 16/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [00:00:00 16/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 16/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [00:00:00 16/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 167 rs: Manual st: NotStopd t0: [00:00:00 16/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [23:00:00 15/06/2015] tf: [12:00:00 16/06/2015] dt: 780 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 vu: ml t0: [23:00:00 15/06/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vu: ml t0: [23:00:00 15/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 6 vu: ml t0: [00:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [00:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [00:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 6 vu: ml t0: [00:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 125 vu: ml
t0: [22:00:00 15/06/2015] tf: [18:39:00 16/06/2015] dt: 1239 id: Heparin el: 1 cu: CSRU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/06/2015] tf: [18:39:00 16/06/2015] dt: 1239 id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 15/06/2015] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [01:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 16/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [01:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 94.3333 u1: mmHg st: NotStopd t0: [01:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [01:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [01:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [01:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 3 vu: ml t0: [01:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 170 vu: ml
t0: [23:00:00 16/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN cv: 1582.7 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 2565 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 2565 ap: carryForward
t0: [01:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 136 rs: Manual st: NotStopd
t0: [01:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 1414 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 3246.7 ap: none t0: [23:00:00 16/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 681.7 ap: carryForward t0: [23:00:00 16/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: 7249.58 ap: carryForward
t0: [01:15:00 16/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd
t0: [02:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [02:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [02:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [02:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [02:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [02:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [02:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 16/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 16/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 16/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [02:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 16/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [02:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 159 rs: Manual st: NotStopd
t0: [02:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [02:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [02:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 1.5 vu: ml t0: [02:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 175 vu: ml
t0: [02:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [23:00:00 10/06/2015] pt: Unit Dose rt: PO fr: QAM fs: 10 dn: 1 m1: Lamotrigine f1: TAB v1: 100 u1: mg
t0: [01:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [02:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [03:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [03:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [03:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [03:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [03:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 16/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 16/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [03:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [03:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 95.6667 u1: mmHg st: NotStopd t0: [03:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 16/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 16/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [03:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [03:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [03:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [03:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [03:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2 vu: ml t0: [03:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 95 vu: ml
t0: [03:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 15/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [03:00:00 16/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [03:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 146 rs: Manual st: NotStopd
t0: [04:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [04:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 16/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [04:00:00 16/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 16/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [04:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [04:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 16/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 89.3333 u1: mmHg st: NotStopd t0: [04:00:00 16/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 16/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 16/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [04:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [04:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 16/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 16/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 16/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 16/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [04:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [04:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [04:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2 vu: ml t0: [04:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
t0: [04:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 16/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [04:00:00 16/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 16/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 14 st: NotStopd t0: [04:00:00 16/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 16/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 11 st: NotStopd t0: [04:00:00 16/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 16/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 16/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 16/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 16/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 16/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 16/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 16/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 16/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 136 rs: Manual st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 16/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 16/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [05:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [05:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 84.3333 u1: mmHg st: NotStopd t0: [05:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 138 rs: Manual st: NotStopd
t0: [05:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [05:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [05:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2 vu: ml t0: [05:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [05:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:45:00 16/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.6 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36 u1: % rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.99 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.6 rs: Final st: NotStopd
t0: [04:45:00 16/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 235 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 65 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 194 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [04:45:00 16/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.9 rs: Final st: NotStopd
t0: [06:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [06:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [06:00:00 16/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable st: NotStopd t0: [06:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 16/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable st: NotStopd t0: [06:00:00 16/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [06:00:00 16/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [06:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [06:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 16/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [06:00:00 16/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [06:00:00 16/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [06:00:00 16/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 16/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 16/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [06:00:00 16/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable st: NotStopd t0: [06:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 16/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [06:00:00 16/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [06:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 16/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [06:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 16/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [06:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [06:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [06:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [06:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2.5 vu: ml t0: [06:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [06:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 130 rs: Manual st: NotStopd
t0: [04:00:00 16/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 16/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [07:00:00 16/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [07:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [07:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 16/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 16/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [07:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 16/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [07:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [07:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 16/06/2015] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 84.8 u1: kg st: NotStopd t0: [07:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.8 u1: kg st: NotStopd t0: [07:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [07:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 16/06/2015] id: BSA - English el: 0 cu: CSRU cg: -1 v1: 1.34973 u1: m2 st: NotStopd t0: [07:00:00 16/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: -1 v1: 1.57399 u1: m2 st: NotStopd t0: [07:00:00 16/06/2015] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0 u1: kg st: NotStopd t0: [07:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 16/06/2015] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 84.8 u1: kg st: NotStopd
t0: [07:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 100 vu: ml t0: [07:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [07:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 2.5 vu: ml t0: [07:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [07:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 123 rs: Manual st: NotStopd
t0: [07:00:00 16/06/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [00:00:00 16/06/2015] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [08:00:00 16/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 16/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [08:00:00 16/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [08:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [08:00:00 16/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 16/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 16/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [08:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [08:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2.5 vu: ml t0: [08:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [08:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [19:00:00 16/06/2015] pt: TPN
t0: [09:00:00 16/06/2015] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [08:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable st: NotStopd t0: [08:00:00 16/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 16/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 16/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 16/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 16/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 16/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 16/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 16/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 16/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [09:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [09:00:00 16/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [09:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 16/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [09:00:00 16/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [09:00:00 16/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [09:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 83 rs: Manual st: NotStopd
t0: [09:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [09:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [09:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 250 ap: none
tf: [19:00:00 16/06/2015] pt: IV Piggyback rt: IV fr: QAM fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [12:00:00 16/06/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd
tf: [19:00:00 16/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [10:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [10:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 100.667 u1: mmHg st: NotStopd t0: [10:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [10:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [11:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [12:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [11:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 166.6 vu: ml t0: [11:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml t0: [12:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [12:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [10:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 16/06/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 167 rs: Manual st: NotStopd
t0: [07:44:00 16/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 681 rs: Final st: NotStopd
t0: [13:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [13:00:00 16/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [13:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 16/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 16/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [13:00:00 16/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [13:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 16/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [14:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 16/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 16/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 16/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 16/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [14:00:00 16/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [14:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [14:00:00 16/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 16/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 16/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 16/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 16/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 166.6 vu: ml t0: [14:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [10:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Dangle st: NotStopd t0: [11:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Ambulate st: NotStopd t0: [11:00:00 16/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 16/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [16:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [16:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 16/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 16/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [16:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 16/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 16/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 16/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 166.6 vu: ml t0: [16:00:00 16/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [18:00:00 16/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 178 rs: Manual st: NotStopd
t0: [16:00:00 16/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [16:00:00 16/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 14 st: NotStopd t0: [16:00:00 16/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 16/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 11 st: NotStopd t0: [16:00:00 16/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 16/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 16/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 16/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 16/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 16/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [18:00:00 16/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 16/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [18:00:00 16/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 16/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 16/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 16/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 16/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 16/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 16/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 166.6 vu: ml
t0: [23:00:00 16/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
tf: [11:00:00 17/06/2015] pt: Unit Dose rt: PO fr: Q6H fs: 20, 2, 8, 14 dn: 4 m1: Hydralazine HCl f1: TAB v1: 10 u1: mg tf: [18:00:00 17/06/2015] pt: Unit Dose rt: PO fr: BID fs: 20, 08 dn: 2 m1: Mycophenolate Mofetil f1: TAB v1: 1000 u1: mg tf: [11:00:00 18/06/2015] pt: Unit Dose rt: PO fr: Q24H fs: 20 dn: 1 m1: Pantoprazole f1: TAB v1: 40 u1: mg tf: [08:00:00 19/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml tf: [08:00:00 19/06/2015] pt: Unit Dose rt: PO fr: Q3-4H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [13:00:00 24/06/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT
tf: [11:00:00 17/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg tf: [08:00:00 22/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide f1: TAB v1: 40 u1: mg tf: [12:00:00 22/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide (Elixir) f1: ELIX v1: 40 u1: mg
tf: [08:00:00 17/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
tf: [00:29:00 27/06/2015] dt: 13955 cu: CSRU de: CCU
id: OR Crystalloid el: 2 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 2 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push
t0: [08:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [08:00:00 17/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 117.667 u1: mmHg st: NotStopd t0: [08:00:00 17/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [08:00:00 17/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 17/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 17/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 17/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 17/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric st: NotStopd t0: [08:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [06:00:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.44 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: RN v1: 29 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.44 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: RN v1: 59 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: RN v1: 25 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: RN v1: 116 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: RN v1: 0.8 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 81 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: RN v1: 12.9 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: 24.4 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: RN v1: 59 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.4 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: RN v1: 148 rs: Manual st: NotStopd t0: [06:00:00 17/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: RN v1: 6 rs: Manual st: NotStopd
t0: [08:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd
t0: [08:00:00 17/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 17/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 17/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 17/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [08:00:00 17/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 17/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [08:00:00 17/06/2015] tf: [00:29:00 27/06/2015] dt: 13949 id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [09:25:00 17/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [09:25:00 17/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [09:25:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [09:25:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:25:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:25:00 17/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [09:25:00 17/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [09:25:00 17/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [09:25:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [09:25:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [09:25:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [09:25:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:25:00 17/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [09:25:00 17/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [09:25:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:25:00 17/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:25:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:25:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [09:25:00 17/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 717 u1: ml/B st: NotStopd t0: [09:25:00 17/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [09:25:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [09:25:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [09:25:00 17/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 17/06/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Intubated st: NotStopd t0: [09:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [09:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [09:00:00 17/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 117.667 u1: mmHg st: NotStopd t0: [09:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [09:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd
t0: [09:40:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:40:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd
t0: [10:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [10:00:00 17/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [10:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 162 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [10:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [10:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [10:00:00 17/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Blood Cultured st: NotStopd t0: [10:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/06/2015] tf: [17:20:00 19/06/2015] dt: 3320 id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 166.6 vu: ml t0: [10:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
tf: [18:00:00 17/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [10:12:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 38 u1: % rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:12:00 17/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 93 u1: % rs: Final st: NotStopd
t0: [10:15:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [10:30:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:30:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [10:30:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [10:30:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [10:30:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 46 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [10:30:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [10:30:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [10:30:00 17/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:30:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:30:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [10:30:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [11:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [11:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [11:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [11:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [11:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:39:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 216 u1: mmHg rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [10:39:00 17/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
tf: [18:00:00 17/06/2015] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 250 u1: mg
t0: [11:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [11:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [11:45:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: PCT v1: 139 rs: Manual st: NotStopd
t0: [12:00:00 17/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 17/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 17/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [12:00:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [12:00:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [12:00:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 17/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 17/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [12:00:00 17/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 281 u1: ml/B st: NotStopd t0: [12:00:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [12:00:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
pt: TPN tf: [08:00:00 25/06/2015] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [16:00:00 26/06/2015] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Hydralazine HCl f1: VIAL v1: 10 u1: mg tf: [09:00:00 28/06/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [09:00:00 28/06/2015] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate f1: INJ v1: 2 u1: gm tf: [09:00:00 28/06/2015] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [12:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [12:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [12:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [12:00:00 17/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd t0: [12:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 17/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 17/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 17/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [12:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [13:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [13:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [13:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 168 rs: Manual st: NotStopd
t0: [13:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [10:00:00 17/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 17/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 17/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 17/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 17/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [10:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 17/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 17/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 17/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 17/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 17/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 17/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 17/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 17/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 17/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [13:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [08:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 17/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 17/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 17/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 17/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd
t0: [13:26:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 178 u1: mmHg rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:26:00 17/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [14:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [14:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [14:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [23:00:00 17/06/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 222 ap: none
t0: [10:00:00 17/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 17/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric st: NotStopd t0: [14:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 17/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 17/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 17/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 17/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [14:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 17/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [15:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [15:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [15:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [15:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [15:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [16:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [16:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [16:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [16:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 17/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 17/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 17/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [16:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [06:49:00 17/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 307 rs: Final st: NotStopd
t0: [15:55:00 17/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd
tf: [15:00:00 18/06/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Metronidazole f1: INJ v1: 500 u1: mg m2: NS f2: INJ v2: 100 u2: ml tf: [13:00:00 30/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 17 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml
t0: [12:00:00 17/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 17/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 17/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 17/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 17/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [17:00:00 17/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 99 u2: mmHg st: NotStopd t0: [17:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [17:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [17:00:00 17/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Bronchoscopy st: NotStopd t0: [17:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [17:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [17:00:00 17/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 17/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 17/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 17/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [17:00:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd t0: [17:00:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [17:30:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:30:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:30:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:30:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [17:30:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:30:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [17:30:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:30:00 17/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:30:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:30:00 17/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:30:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [17:30:00 17/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:30:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 17/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 417 u1: ml/B st: NotStopd t0: [17:30:00 17/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 347 u1: ml/B st: NotStopd t0: [17:30:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Control st: NotStopd
t0: [18:00:00 17/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 17/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 17/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [18:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [18:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [18:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [18:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [17:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [18:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [18:31:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [18:31:00 17/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [19:00:00 17/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 17/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 st: D/C'd
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ra: 5 ru: ml/hr
tf: [09:00:00 18/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Morphine Sulfate f1: SYR v1: 4 u1: mg
id: .9% Normal Saline el: 3 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [19:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [19:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [19:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [19:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [19:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [20:00:00 17/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [20:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 17/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [20:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 17/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 17/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 17/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 17/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [19:00:00 17/06/2015] tf: [17:20:00 19/06/2015] dt: 2780 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [19:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [20:00:00 17/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [20:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [20:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 17/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 17/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 17/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 17/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 17/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 17/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 17/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 17/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 17/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 17/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 17/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
tf: [09:00:00 18/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Propofol (Generic) f1: INJ v1: 40 u1: mg tf: [09:00:00 18/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Propofol (Generic) f1: INJ v1: 40 u1: mg tf: [18:00:00 18/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 250 u1: mg tf: [19:00:00 18/06/2015] pt: IV Piggyback rt: IV fr: BID fs: 20, 08 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml
t0: [21:00:00 17/06/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [21:00:00 17/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 17/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 17/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 17/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 17/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [21:00:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [21:00:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [21:00:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [21:00:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [21:00:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [21:00:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [21:00:00 17/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 516 u1: ml/B st: NotStopd t0: [21:00:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [21:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [21:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 17/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 17/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [22:00:00 17/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 17/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 17/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [22:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [22:00:00 17/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 17/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [22:00:00 17/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [22:00:00 17/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 17/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 17/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 17/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 17/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 17/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 17/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 17/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 17/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [21:00:00 17/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [21:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [22:00:00 17/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [22:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [21:48:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 214 u1: mmHg rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [21:48:00 17/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [23:00:00 17/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 21cm v2: Lip st: NotStopd t0: [23:00:00 17/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 17/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [23:00:00 17/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 35 u1: BPM st: NotStopd t0: [23:00:00 17/06/2015] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [23:00:00 17/06/2015] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [23:00:00 17/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [23:00:00 17/06/2015] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 6 v2: 18 st: NotStopd t0: [23:00:00 17/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 4.5 st: NotStopd t0: [23:00:00 17/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 19 u1: cmH2O st: NotStopd t0: [23:00:00 17/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 8.1 u1: L/min st: NotStopd t0: [23:00:00 17/06/2015] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [23:00:00 17/06/2015] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 12 u1: . st: NotStopd t0: [23:00:00 17/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 17 u1: BPM st: NotStopd t0: [23:00:00 17/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 17/06/2015] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 99 u1: % st: NotStopd t0: [23:00:00 17/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: CRT v1: 508 u1: ml/B st: NotStopd t0: [23:00:00 17/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: CPAP+PS st: NotStopd t0: [23:00:00 17/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: Drager st: NotStopd
t0: [23:00:00 17/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 17/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 17/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [23:00:00 17/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [23:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [23:00:00 17/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 17/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 17/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 17/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 17/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 17/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 17/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 17/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 17/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [22:00:00 17/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 17/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 17/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 17/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 17/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 17/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 17/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 17/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 17/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 17/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 17/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 17/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 17/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 17/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 17/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [23:00:00 17/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 17/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [23:00:00 17/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 17/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 17/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 88.3 cv: 88.3 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 145 cv: 570 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 83.3 cv: 1249.5 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 228.3 cv: 2041.5 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 140 cv: 2210 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 88.3 cv: -168.5 ap: none t0: [23:00:00 17/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 140 cv: 2210 ap: none t0: [23:00:00 17/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 88.3 cv: 7081.08 ap: carryForward
t0: [00:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [00:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [00:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [00:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [00:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [00:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [00:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [00:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [00:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [00:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [23:50:00 17/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 186 u1: mmHg rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [23:50:00 17/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [00:00:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [01:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [01:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [01:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [01:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [01:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:50:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 209 u1: mmHg rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [00:50:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [02:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [02:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 18/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [02:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [02:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [02:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [02:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [02:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [02:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [02:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [02:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [02:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [02:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [02:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [02:00:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [02:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [02:00:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 10.4 u1: L/min st: NotStopd t0: [02:00:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN u1: cmH2O st: NotStopd t0: [02:00:00 18/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RN v1: 40 u1: cmH2O st: NotStopd t0: [02:00:00 18/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RN v1: 25 u1: cmH2O st: NotStopd t0: [02:00:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 15 u1: . st: NotStopd t0: [02:00:00 18/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 18/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 18/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RN v1: 495 u1: ml/B st: NotStopd t0: [02:00:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 361 u1: ml/B st: NotStopd t0: [02:00:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: Pressure Control st: NotStopd t0: [02:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [02:15:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:15:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:15:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:15:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:15:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [02:15:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:15:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [02:15:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [02:15:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [02:15:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [02:15:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:15:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:30:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:30:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:30:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [02:30:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:30:00 18/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [02:30:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [02:30:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:30:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [03:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [03:00:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [03:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 18/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [03:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [03:00:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [03:00:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.82 u1: L/min st: NotStopd t0: [03:00:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [03:00:00 18/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [03:00:00 18/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:00:00 18/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 583 u1: ml/B st: NotStopd t0: [03:00:00 18/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [03:00:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [03:00:00 18/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [03:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [03:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [03:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [03:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [08:00:00 18/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Morphine Sulfate f1: INJ v1: 2 u1: mg
t0: [03:26:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 186 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:26:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [04:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [04:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [04:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [04:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [04:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [04:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [04:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 18/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [04:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [04:16:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 192 u1: mmHg rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd
t0: [05:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [05:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [05:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [05:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [05:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [05:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [04:00:00 18/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.2 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.3 u1: % rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.2 rs: Final st: NotStopd t0: [04:16:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.6162 u1: ml/dl st: NotStopd
t0: [04:00:00 18/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 23.6 rs: Final st: NotStopd
t0: [05:00:00 18/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [05:00:00 18/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd
t0: [06:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [06:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [06:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [06:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [06:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [06:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 18/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [06:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd
t0: [06:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [06:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [06:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 18/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 56 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [04:00:00 18/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.1 rs: Final st: NotStopd
t0: [06:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [06:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [07:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [07:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [07:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.8 u1: kg st: NotStopd t0: [07:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [07:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [07:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [07:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [07:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [07:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 18/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.5 rs: Final st: NotStopd
t0: [08:00:00 18/06/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 18/06/2015] id: Temperature C el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 18/06/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 18/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 18/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 18/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 18/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [08:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 18/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [08:00:00 18/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 15 u1: . st: NotStopd t0: [08:00:00 18/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [08:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [08:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 18/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/06/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.36382 u1: m2 st: NotStopd t0: [08:00:00 18/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.59006 u1: m2 st: NotStopd t0: [08:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [08:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/06/2015] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/06/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [08:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [08:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 18/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 18/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [07:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [08:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [08:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [08:00:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [08:00:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [08:00:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 698 u1: ml/B st: NotStopd t0: [08:00:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [08:41:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.8603 u1: ml/dl st: NotStopd t0: [08:41:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 218 u1: mmHg rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [08:41:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [09:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [09:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [09:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [09:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [13:00:00 18/06/2015] pt: Unit Dose rt: IV fr: Q3-4H:PRN m1: Hydromorphone f1: SYR v1: 0.5-1 u1: mg
t0: [10:00:00 18/06/2015] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 18/06/2015] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
pt: TPN tf: [18:00:00 18/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [10:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [10:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [10:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [10:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [09:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [10:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [10:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 195 vu: ml
t0: [08:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 18/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [10:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [10:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [10:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [10:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [10:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [10:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [10:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [10:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd
t0: [11:00:00 18/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 105 rs: Manual st: NotStopd
t0: [11:14:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.8603 u1: ml/dl st: NotStopd t0: [11:14:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 218 u1: mmHg rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.28 rs: Final st: NotStopd t0: [11:14:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [11:00:00 18/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [11:00:00 18/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [11:00:00 18/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [11:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [11:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [11:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 40 u1: BPM st: NotStopd t0: [11:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [11:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [11:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [11:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [11:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [11:45:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:45:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:45:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:45:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:45:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:45:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:45:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [11:45:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [11:45:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [11:45:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [11:45:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:45:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 26 u1: . st: NotStopd t0: [11:45:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [11:45:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:45:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:45:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 1300 u1: ml/B st: NotStopd t0: [11:45:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:45:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
tf: [08:00:00 23/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 18, 4, 12 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml
t0: [13:10:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.9936 u1: ml/dl st: NotStopd t0: [13:10:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 261 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.32 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [13:10:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [11:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [11:30:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:30:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [11:30:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:30:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:30:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:30:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [11:30:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [11:30:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [11:30:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [11:30:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:30:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [11:30:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [11:30:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:30:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [11:30:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:30:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 18/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 18/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 18/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [12:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 18/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [12:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [12:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [12:45:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:45:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:45:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:45:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:45:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [12:45:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 6 u1: BPM st: NotStopd t0: [12:45:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:45:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 18/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [13:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [13:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [13:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [12:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [13:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [13:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [11:00:00 18/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Apneic st: NotStopd t0: [12:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [14:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [14:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [14:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [14:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
tf: [18:00:00 18/06/2015] pt: Unit Dose rt: IV fr: Q3-4H:PRN m1: Hydromorphone f1: SYR v1: 0.5-1 u1: mg tf: [10:00:00 20/06/2015] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Haloperidol f1: VIAL v1: 3-5 u1: mg
t0: [04:00:00 18/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 411 rs: Final st: NotStopd
t0: [07:30:00 18/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 328 rs: Final st: NotStopd
t0: [15:00:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 24 u1: . st: NotStopd
t0: [14:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 18/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [14:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [14:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [14:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [14:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Apneic st: NotStopd t0: [14:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [14:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [15:00:00 18/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 18/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [15:00:00 18/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [15:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [15:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [15:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [15:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [15:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [15:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [23:00:00 18/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
io: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: GT Flush el: 1 cu: CSRU cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric id: Nepro el: 1 cu: CSRU cg: RN io: Nepro Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: CSRU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [16:16:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [16:16:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [16:16:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [16:16:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [16:16:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 212 u1: mmHg rs: Final st: NotStopd t0: [16:16:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [16:16:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [12:00:00 18/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 18/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 18/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Fling st: NotStopd t0: [12:00:00 18/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 18/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 18/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 18/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 18/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Fling st: NotStopd t0: [16:00:00 18/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 18/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [16:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [16:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Apneic st: NotStopd t0: [16:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 18/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [16:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:30:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:30:00 18/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd
t0: [16:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [16:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [16:30:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 0 vu: ml st: Restart
t0: [16:00:00 18/06/2015] tf: [00:29:00 27/06/2015] dt: 12029 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml
t0: [16:00:00 18/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [17:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [17:00:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [17:00:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [17:00:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [17:00:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [17:00:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 24 u1: . st: NotStopd t0: [17:00:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [17:00:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [17:00:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 1450 u1: ml/B st: NotStopd t0: [17:00:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:15:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [16:15:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:45:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:45:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 18/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [17:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [17:00:00 18/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [17:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [17:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 18/06/2015] tf: [13:00:00 19/06/2015] dt: 1200 id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 5 vu: ml t0: [17:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [17:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [16:00:00 18/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd
t0: [17:30:00 18/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 144 rs: Manual st: NotStopd
t0: [12:00:00 18/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [18:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:00:00 18/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [18:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 6 u1: BPM st: NotStopd t0: [18:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 18/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [18:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [18:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Apneic st: NotStopd t0: [18:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [18:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [18:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 10 vu: ml t0: [18:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [18:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [19:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [19:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.4 u1: kg st: NotStopd t0: [19:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [19:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 10 vu: ml t0: [19:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [19:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [16:30:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd
t0: [19:14:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thin st: NotStopd t0: [19:14:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
tf: [19:00:00 19/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 250 u1: mg tf: [03:00:00 22/06/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml
t0: [20:00:00 18/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [20:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 18/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 18/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [20:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [20:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 18/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 18/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 18/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 18/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 18/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 18/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.4 u1: kg st: NotStopd t0: [20:00:00 18/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 18/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Irregular st: NotStopd t0: [20:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [20:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [20:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [20:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Withdrawn st: NotStopd t0: [20:00:00 18/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 18/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 18/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 10 vu: ml t0: [20:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [20:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 340 vu: ml
t0: [20:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd
t0: [20:33:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:33:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:33:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:33:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:33:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:33:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:33:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [20:33:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:33:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:33:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.69 u1: L/min st: NotStopd t0: [20:33:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:33:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 24 u1: . st: NotStopd t0: [20:33:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [20:33:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:33:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:33:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 1280 u1: ml/B st: NotStopd t0: [20:33:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:33:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [21:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [21:00:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [21:00:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [21:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.4 u1: kg st: NotStopd t0: [21:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [21:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [21:00:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [21:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 18/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 30 vu: ml t0: [21:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 10 vu: ml t0: [21:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [21:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [23:00:00 18/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 155 ap: none
t0: [21:39:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.9037 u1: ml/dl st: NotStopd t0: [21:39:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 232 u1: mmHg rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [21:39:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [21:45:00 18/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd
t0: [22:00:00 18/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 18/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 18/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 18/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 18/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 18/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [22:00:00 18/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [22:00:00 18/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 18/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [22:00:00 18/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [22:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 18/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 18/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 18/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [22:00:00 18/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [22:00:00 18/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 18/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 18/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 18/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 18/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 18/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 18/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [22:00:00 18/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [22:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 18/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 18/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 18/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.4 u1: kg st: NotStopd t0: [22:00:00 18/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 18/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 18/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 18/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 18/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Irregular st: NotStopd t0: [22:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [22:00:00 18/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 18/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 18/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 18/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 18/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [22:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 18/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [22:00:00 18/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 18/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [22:00:00 18/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 18/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 18/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd
t0: [22:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 20 vu: ml t0: [22:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [22:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [22:10:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd
t0: [23:00:00 18/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 18/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 18/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 18/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 18/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [23:00:00 18/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 18/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 146 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [23:00:00 18/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [23:00:00 18/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.4 u1: kg st: NotStopd t0: [23:00:00 18/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [23:00:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 18/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 18/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 20 vu: ml t0: [23:00:00 18/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [23:00:00 18/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 18/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 18/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 58.3 cv: 58.3 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 55 cv: 1490 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: -1 pv: 83.3 cv: 1999.2 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 158.3 cv: 3729.2 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 20 cv: 85 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 100 cv: 3600 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 58.3 cv: 129.2 ap: none t0: [23:00:00 18/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 100 cv: 3600 ap: none t0: [23:00:00 18/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 58.3 cv: 7210.27 ap: carryForward
t0: [23:03:00 18/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.7456 u1: ml/dl st: NotStopd t0: [23:03:00 18/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 181 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [23:03:00 18/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [23:03:00 18/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 145 rs: Final st: NotStopd
t0: [23:00:00 18/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 18/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [23:00:00 18/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd
t0: [00:00:00 19/06/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 19/06/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:33:00 18/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [23:59:00 18/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [23:59:00 18/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:59:00 18/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [23:59:00 18/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:59:00 18/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:59:00 18/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [23:59:00 18/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [23:59:00 18/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [23:59:00 18/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [23:59:00 18/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [23:59:00 18/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.75 u1: L/min st: NotStopd t0: [23:59:00 18/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:59:00 18/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [23:59:00 18/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [23:59:00 18/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:59:00 18/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [23:59:00 18/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [23:59:00 18/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:59:00 18/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 1380 u1: ml/B st: NotStopd t0: [23:59:00 18/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:59:00 18/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 18/06/2015] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 18.2 rs: Final st: NotStopd
t0: [00:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [00:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 141 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [00:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [00:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.4 u1: kg st: NotStopd t0: [00:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [00:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [01:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [01:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [01:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [01:00:00 19/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [01:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [01:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [01:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [01:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [01:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [01:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [01:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [01:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [01:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [01:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [01:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [01:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [01:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [01:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [01:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [01:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [01:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 19/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [01:00:00 19/06/2015] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [01:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [01:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [01:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [01:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [01:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [01:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [01:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [01:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [01:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Sediment st: NotStopd t0: [01:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [01:00:00 19/06/2015] id: BSA - English el: 0 cu: CSRU cg: -1 v1: 1.3682 u1: m2 st: NotStopd t0: [01:00:00 19/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: -1 v1: 1.59502 u1: m2 st: NotStopd t0: [01:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [01:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 19/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 19/06/2015] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [01:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [01:00:00 19/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [01:00:00 19/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [01:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 40 vu: ml t0: [01:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 166.6 vu: ml t0: [01:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 330 vu: ml
t0: [23:00:00 19/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 340 cv: 340 ap: none t0: [23:00:00 19/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: -295 cv: -295 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 5 cv: 1295.42 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: 3161 cv: 1527.17 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 45 cv: 4842.58 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 40 cv: 720 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 340 cv: 3880 ap: none t0: [23:00:00 19/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: -295 cv: 952.583 ap: carryForward t0: [23:00:00 19/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 340 cv: 3890 ap: carryForward t0: [23:00:00 19/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: -295 cv: 8162.86 ap: carryForward
t0: [01:23:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:23:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 19/06/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [02:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [02:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [02:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [02:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [02:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [02:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 30 vu: ml t0: [02:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [02:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [02:12:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:12:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:12:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:12:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 256 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [02:12:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd
t0: [03:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [03:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [03:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [03:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [03:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [03:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 30 vu: ml t0: [03:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [03:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [02:45:00 19/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.3 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.6 u1: % rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.3 rs: Final st: NotStopd
t0: [03:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [03:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.3889 u1: Deg. C st: NotStopd t0: [03:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.3 u1: Deg. F st: NotStopd
t0: [03:14:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd
t0: [03:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [03:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: At Rest st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [03:00:00 19/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd
t0: [02:45:00 19/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 89 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 60 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:45:00 19/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.6 rs: Final st: NotStopd
t0: [02:45:00 19/06/2015] id: Vancomycin/Peak Drug Level el: 0 cu: CSRU cg: 3161 v1: 32.3 rs: Final st: NotStopd
t0: [04:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [04:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [04:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 247 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd
t0: [02:45:00 19/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.8 rs: Final st: NotStopd t0: [04:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [04:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [04:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Cloudy st: NotStopd t0: [04:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [04:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd
t0: [04:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 30 vu: ml t0: [04:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [04:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [04:51:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:51:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:51:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:51:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:51:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:51:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:51:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:51:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [04:51:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:51:00 19/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:51:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.58 u1: L/min st: NotStopd t0: [04:51:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:51:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [04:51:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [04:51:00 19/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:51:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:51:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:51:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:51:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 1080 u1: ml/B st: NotStopd t0: [04:51:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:51:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [05:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [05:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [05:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [05:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [05:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 30 vu: ml t0: [05:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [05:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [06:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [06:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [06:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [06:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [06:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [06:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [06:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [06:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [06:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [06:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd
t0: [06:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 40 vu: ml t0: [06:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [06:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [05:59:00 19/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 125 u1: units st: NotStopd t0: [05:59:00 19/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 125 u1: units st: NotStopd t0: [05:59:00 19/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [05:59:00 19/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.224 u1: L st: NotStopd
t0: [06:00:00 19/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd
t0: [06:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [06:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [06:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [06:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [06:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [06:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [06:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [06:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [06:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Repositioned st: NotStopd t0: [06:00:00 19/06/2015] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Intermittent st: NotStopd t0: [06:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 19/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [06:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Cloudy st: NotStopd t0: [06:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 19/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 19/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 102 rs: Manual st: NotStopd
t0: [07:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [07:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 155 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [07:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [07:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [07:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: -1 ai: 182 vo: 40 vu: ml t0: [07:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 83.3 vu: ml t0: [07:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [08:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [08:00:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 19/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [08:00:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [08:00:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 19/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 19/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: Repositioned st: NotStopd t0: [08:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [08:00:00 19/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [08:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml t0: [08:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [07:30:00 19/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron f1: INJ v1: 2 u1: mg
t0: [09:00:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 161 u1: mmHg rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [09:00:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [09:00:00 19/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [08:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 19/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 19/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 19/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 19/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [09:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [09:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 162 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [09:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [09:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [09:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/06/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 128 vo: 0 vu: ml t0: [08:00:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 105 vu: ml t0: [09:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml t0: [09:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [09:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
tf: [09:00:00 20/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Risperidone Oral Solution f1: SOLN v1: 0.5 u1: mg
t0: [09:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [09:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [09:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [09:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [09:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [10:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [10:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [10:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [10:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml t0: [10:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [10:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [08:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [09:30:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [09:30:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:30:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:30:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:30:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [09:30:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [09:30:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [10:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 19/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 19/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 19/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [10:00:00 19/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [10:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [10:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [11:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [11:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [11:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [11:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [11:00:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: Unable to score st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [11:00:00 19/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [11:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [11:00:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 14 u1: . st: NotStopd t0: [11:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [11:00:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 861 u1: ml/B st: NotStopd t0: [11:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [11:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [11:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml t0: [11:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [11:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [12:06:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 192 u1: mmHg rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 199 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.24 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [12:00:00 19/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.7 u1: % rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.86 u1: /mic l rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [12:06:00 19/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 17.045 u1: ml/dl st: NotStopd
t0: [12:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [12:00:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [12:00:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [12:00:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 19/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [12:00:00 19/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [11:30:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:30:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [12:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 195 u1: mmHg st: NotStopd t0: [12:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [12:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [12:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 23.3 rs: Final st: NotStopd t0: [12:15:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:15:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [13:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [12:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml t0: [12:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [12:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml t0: [13:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [13:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [12:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [12:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:30:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:30:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:30:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [13:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
io: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ra: 40 ru: ml/hr
id: Impact w/fiber el: 1 cu: CSRU cg: RN io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [12:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 19/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [14:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [14:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [14:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml
t0: [08:00:00 19/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [09:30:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [14:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [14:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [14:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [14:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [14:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [13:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vo: 40 vu: ml st: Stopped t0: [14:00:00 19/06/2015] tf: [15:00:00 19/06/2015] dt: 60 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml nb: 1 t0: [14:00:00 19/06/2015] id: Nepro Tube Feeding el: 1 cu: CSRU cg: RN ai: 182 vu: ml t0: [14:00:00 19/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 40 vu: ml t0: [14:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [07:30:00 19/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 305 rs: Final st: NotStopd
t0: [15:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [15:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [15:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml t0: [15:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [15:00:00 19/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 40 vu: ml st: Stopped t0: [15:00:00 19/06/2015] tf: [00:29:00 27/06/2015] dt: 10649 id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml t0: [15:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [15:15:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml t0: [15:15:00 19/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml t0: [15:30:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml t0: [15:30:00 19/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml t0: [15:45:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml t0: [15:45:00 19/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml t0: [16:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [16:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 19/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [16:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd
t0: [16:20:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:20:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:20:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [16:20:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [16:20:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:20:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 11.6 u1: L/min st: NotStopd t0: [16:20:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 8 u1: cmH2O st: NotStopd t0: [16:20:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 14 u1: . st: NotStopd t0: [16:20:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:20:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:20:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 459 u1: ml/B st: NotStopd t0: [16:20:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [16:20:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd
t0: [15:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 19/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [16:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 19/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:15:00 19/06/2015] tf: [16:00:00 21/06/2015] dt: 2865 id: Gastric Nasogastric el: 2 cu: CSRU cg: RN vo: 10 vu: ml
t0: [23:00:00 19/06/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 10 ap: none
t0: [15:30:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:30:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [15:30:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:30:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:30:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:15:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:15:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:15:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:15:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:15:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:15:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:15:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:15:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [16:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [16:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [16:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [16:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [16:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Abdominal Xray st: NotStopd t0: [17:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [17:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [17:00:00 19/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [17:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:20:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:20:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:20:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:20:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:20:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:20:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:20:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [17:20:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [17:20:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [17:20:00 19/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: CT scan st: NotStopd t0: [17:20:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:20:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:20:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 83.3 vu: ml t0: [17:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [17:18:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.9551 u1: ml/dl st: NotStopd t0: [17:18:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [17:18:00 19/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [17:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [17:00:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [17:00:00 19/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [17:00:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [17:00:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [17:00:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:00:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [18:30:00 19/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 133 rs: Manual st: NotStopd
t0: [18:56:00 19/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.6464 u1: ml/dl st: NotStopd t0: [18:56:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [19:00:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
tf: [15:00:00 19/06/2015] pt: IV Piggyback rt: IV fr: Q18H dn: 1 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [18:15:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:15:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:15:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:15:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [18:15:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:15:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [18:15:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:15:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:15:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:56:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.32 rs: Final st: NotStopd t0: [18:56:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.32 rs: Final st: NotStopd t0: [19:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [19:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86.9 u1: kg st: NotStopd t0: [19:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [19:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:20:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 1.66667 vu: ml st: Stopped
t0: [18:15:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:15:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:15:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:15:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:15:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:15:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [18:15:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:15:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [18:15:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:15:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:15:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:15:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:15:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:15:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:15:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:15:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:15:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: Backrub v2: Repositioned st: NotStopd t0: [18:15:00 19/06/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [18:15:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:15:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:15:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:15:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:15:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:15:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:15:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:15:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:15:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:15:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:15:00 19/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [18:15:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:15:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [18:15:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:15:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:15:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [18:30:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:30:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:30:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:30:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:30:00 19/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:30:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:30:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:30:00 19/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:45:00 19/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd
t0: [17:20:00 19/06/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 27.7667 vu: ml st: Stopped t0: [19:00:00 19/06/2015] tf: [00:29:00 27/06/2015] dt: 10409 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml st: Restart t0: [18:15:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [19:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 3.75 vu: ml t0: [19:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [17:20:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [17:20:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [16:20:00 19/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [20:00:00 19/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [20:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 19/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 19/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 19/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 19/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [20:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 19/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 19/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 19/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 19/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 19/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 19/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 19/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [20:00:00 19/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [20:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 146 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Repositioned st: NotStopd t0: [20:00:00 19/06/2015] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Intermittent st: NotStopd t0: [20:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [20:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [20:00:00 19/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 19/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 19/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [20:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 19/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 19/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Cloudy st: NotStopd t0: [20:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [20:00:00 19/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 19/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 19/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 50 vu: ml t0: [20:00:00 19/06/2015] tf: [15:00:00 23/06/2015] dt: 5460 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 40 vu: ml nb: 1 t0: [20:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
tf: [19:00:00 20/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 250 u1: mg
t0: [19:53:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [19:53:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:53:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:53:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:53:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:53:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [19:53:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [19:53:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [19:53:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [19:53:00 19/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:53:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [19:53:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:53:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [19:53:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [19:53:00 19/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:53:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:53:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [19:53:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [19:53:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 346 u1: ml/B st: NotStopd t0: [19:53:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:53:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 17/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [19:00:00 19/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 86.9 u1: kg st: NotStopd t0: [20:45:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 172 u1: mmHg rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [20:45:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [21:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [21:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 149 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [21:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [21:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [21:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 19/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 50 vu: ml t0: [21:00:00 19/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 40 vu: ml t0: [21:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 500 vu: ml
t0: [23:00:00 19/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 1300 ap: none
t0: [21:30:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [21:30:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [21:30:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [21:30:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [21:30:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 6 v2: 18 st: NotStopd t0: [21:30:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 12 u1: . st: NotStopd t0: [21:30:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 99 u1: % st: NotStopd t0: [21:30:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: Drager st: NotStopd
t0: [22:00:00 19/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [22:00:00 19/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 19/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [22:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 19/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 19/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 19/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 19/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [22:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 19/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [22:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [22:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [22:00:00 19/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [22:00:00 19/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 19/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 19/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 19/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 19/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 19/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 19/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 19/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [22:00:00 19/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 19/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd
t0: [19:00:00 19/06/2015] id: QTc el: 0 cu: CSRU cg: -1 v1: 0.42 u1: sec st: NotStopd
t0: [22:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 19/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 40 vu: ml t0: [22:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 700 vu: ml
t0: [22:28:00 19/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 165 u1: mmHg rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [22:28:00 19/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [23:00:00 19/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 19/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 19/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 19/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 19/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 19/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [23:00:00 19/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 19/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 19/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 19/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [23:00:00 19/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 19/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [23:00:00 19/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 19/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 19/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [23:00:00 19/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [23:00:00 19/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [23:00:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 19/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 19/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [23:00:00 19/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [23:00:00 19/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [23:00:00 19/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [23:00:00 19/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 19/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 40 vu: ml t0: [23:00:00 19/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 340 vu: ml
t0: [23:00:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [23:00:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [23:00:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [23:00:00 19/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [23:00:00 19/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [00:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [00:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [00:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [00:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [00:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 86.9 u1: kg st: NotStopd t0: [00:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [00:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Cloudy st: NotStopd t0: [00:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/06/2015] id: BSA - English el: 0 cu: CSRU cg: -1 v1: 1.37431 u1: m2 st: NotStopd t0: [00:00:00 20/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: -1 v1: 1.602 u1: m2 st: NotStopd t0: [00:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/06/2015] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0.7 u1: kg st: NotStopd t0: [00:00:00 20/06/2015] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 20/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [00:00:00 20/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [00:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 60 vu: ml
t0: [23:33:00 19/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:33:00 19/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:33:00 19/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:33:00 19/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:33:00 19/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:33:00 19/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [23:33:00 19/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [23:33:00 19/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [23:33:00 19/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [23:33:00 19/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:33:00 19/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.16 u1: L/min st: NotStopd t0: [23:33:00 19/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:33:00 19/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:33:00 19/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [23:33:00 19/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:33:00 19/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [23:33:00 19/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 385 u1: ml/B st: NotStopd t0: [23:33:00 19/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:33:00 19/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 220 vu: ml
t0: [00:30:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 17.0667 u1: ml/dl st: NotStopd t0: [00:30:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 199 u1: mmHg rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [00:30:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [00:30:00 20/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 130 rs: Final st: NotStopd t0: [01:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [01:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [01:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [01:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 159 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [01:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [01:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [01:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [01:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 60 vu: ml t0: [01:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml
t0: [01:00:00 20/06/2015] id: QTc el: 0 cu: CSRU cg: -1 v1: 0.39 u1: sec st: NotStopd
t0: [02:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [02:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 20/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [02:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [02:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [02:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [02:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [02:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [02:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [02:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [02:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 155 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [02:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [02:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [02:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [02:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [02:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd
t0: [02:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 60 vu: ml t0: [02:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [03:00:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: -1 v1: 7.37 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [03:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [03:00:00 20/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [03:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [03:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [03:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [03:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 20/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [03:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [03:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [03:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [03:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [03:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [03:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [03:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [03:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [03:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 20/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [03:00:00 20/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [03:00:00 20/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [03:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [03:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: -1 v1: -1 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: -1 v1: 24 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: -1 v1: 43 u1: mmHg rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: -1 v1: 181 u1: mmHg rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: -1 v1: 7.37 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.29 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: -1 v1: 1 rs: Manual st: NotStopd t0: [03:00:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: -1 v1: 98 u1: % rs: Manual st: NotStopd t0: [04:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Small st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [04:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [04:00:00 20/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 20/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [04:00:00 20/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [04:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 120 vu: ml t0: [04:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [03:00:00 20/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [03:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [03:00:00 20/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Repositioned st: NotStopd t0: [04:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [04:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [04:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [04:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [04:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:56:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 181 u1: mmHg rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [02:56:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.8448 u1: ml/dl st: NotStopd t0: [02:56:00 20/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:56:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 20/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 229 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd
t0: [03:00:00 20/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 22.7 rs: Final st: NotStopd
t0: [03:00:00 20/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.7 rs: Final st: NotStopd
t0: [05:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [05:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [05:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [05:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [05:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:31:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:31:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:31:00 20/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:31:00 20/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:31:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:31:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:31:00 20/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:31:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [04:31:00 20/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:31:00 20/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:31:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.16 u1: L/min st: NotStopd t0: [04:31:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:31:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:31:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:31:00 20/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:31:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:31:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:31:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:31:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd
t0: [05:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 60 vu: ml t0: [05:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [16:16:00 18/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 u1: ml/dl st: NotStopd t0: [03:00:00 20/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.3 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.6629 u1: ml/dl st: NotStopd t0: [03:00:00 20/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.5 u1: % rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.87 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 20/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.3 rs: Final st: NotStopd
t0: [05:30:00 20/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 143 rs: Manual st: NotStopd
t0: [06:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [06:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 62 u1: BPM st: NotStopd t0: [06:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [06:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 150 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [06:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [06:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd
t0: [06:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 80 vu: ml t0: [06:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [06:00:00 20/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 89.7833 u1: units st: NotStopd t0: [06:00:00 20/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 89.7833 u1: units st: NotStopd t0: [06:00:00 20/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [06:00:00 20/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.323 u1: L st: NotStopd
t0: [06:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [06:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [06:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [07:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [07:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [07:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [07:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 80 vu: ml t0: [07:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [07:35:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [07:35:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [07:35:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [07:35:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [07:35:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [07:35:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd t0: [07:35:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [07:35:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [07:35:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:35:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:35:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 346 u1: ml/B st: NotStopd t0: [07:35:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [07:35:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd
t0: [08:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 20/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 20/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [08:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 80 vu: ml t0: [08:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [08:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 20/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 20/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 20/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [08:00:00 20/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 20/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [08:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 20/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [08:00:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:49:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.786 u1: ml/dl st: NotStopd t0: [08:49:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 171 u1: mmHg rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [08:49:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [08:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 20/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 20/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 20/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 20/06/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 128 vu: ml t0: [08:00:00 20/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 30 vu: ml t0: [08:00:00 20/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml
t0: [08:00:00 20/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 20/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [09:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [09:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [09:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [09:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 80 vu: ml t0: [09:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [10:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [10:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 9.5 u1: L/min st: NotStopd t0: [10:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [10:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [10:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [10:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [10:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 422 u1: ml/B st: NotStopd t0: [10:00:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [10:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [10:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [09:00:00 21/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR
t0: [10:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 80 vu: ml t0: [10:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Haloperidol f1: VIAL v1: 3-5 u1: mg
t0: [11:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [11:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [11:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [11:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 80 vu: ml t0: [11:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 205 vu: ml
t0: [08:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 20/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [10:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 20/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 20/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 20/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [10:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [10:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [10:30:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [10:30:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:30:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:30:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:30:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:30:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:30:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:30:00 20/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:30:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [10:30:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:30:00 20/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [11:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd
t0: [11:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 20/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [12:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 8.89 u1: L/min st: NotStopd t0: [12:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [12:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [12:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [12:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 20/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 20/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 20/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 451 u1: ml/B st: NotStopd t0: [12:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [12:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [12:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 20/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 177 rs: Manual st: NotStopd
t0: [12:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 80 vu: ml t0: [12:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [12:05:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:05:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:05:00 20/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:05:00 20/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:05:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:05:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:05:00 20/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [12:05:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [12:05:00 20/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:05:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [12:05:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:05:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:05:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:05:00 20/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:05:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:05:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [12:05:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:05:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [09:50:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:50:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:50:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:50:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 165 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [09:50:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [09:50:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [09:50:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:50:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:55:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [10:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [10:00:00 20/06/2015] id: QTc el: 0 cu: CSRU cg: RN v1: 0.41 u1: sec st: NotStopd t0: [10:05:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [10:10:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [10:15:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd
t0: [14:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml t0: [14:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [14:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [14:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 10.8 u1: L/min st: NotStopd t0: [14:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [14:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [14:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 381 u1: ml/B st: NotStopd t0: [14:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [14:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [14:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [14:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [07:40:00 20/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 387 rs: Final st: NotStopd
t0: [08:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [08:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [08:00:00 20/06/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.37431 u1: m2 st: NotStopd t0: [08:00:00 20/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.602 u1: m2 st: NotStopd t0: [08:00:00 20/06/2015] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 20/06/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [09:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [09:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [09:50:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [10:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [11:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [11:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [12:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [12:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [13:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [14:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [14:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [15:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [15:05:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [15:05:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:05:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:05:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:05:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:05:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:05:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [15:05:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [15:05:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [15:05:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [15:05:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:05:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:05:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [15:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [15:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [15:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [15:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 48 vu: ml
t0: [23:00:00 20/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [16:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 9.64 u1: L/min st: NotStopd t0: [16:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [16:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [16:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [16:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 410 u1: ml/B st: NotStopd t0: [16:00:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [16:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [16:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 20/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 30 vu: ml t0: [16:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 20/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml
t0: [16:01:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:01:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:01:00 20/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:01:00 20/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:01:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:01:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:01:00 20/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [16:01:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [16:01:00 20/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:01:00 20/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:01:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [16:01:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:01:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:01:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:01:00 20/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:01:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:01:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:01:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:01:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 20/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 20/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [16:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 20/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:05:00 20/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [16:05:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 6 rs: Final st: NotStopd t0: [17:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [17:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [17:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [17:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [16:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 48 vu: ml t0: [17:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 145 vu: ml
t0: [17:28:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.8503 u1: ml/dl st: NotStopd t0: [17:28:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [17:28:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 250 rs: Final st: NotStopd t0: [17:28:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 5.7 rs: Final st: NotStopd
t0: [18:05:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.2143 u1: ml/dl st: NotStopd t0: [18:05:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [18:05:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:20:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:20:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:20:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:20:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:20:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [17:20:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:20:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [17:20:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [17:20:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [17:20:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 10.5 u1: L/min st: NotStopd t0: [17:20:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [17:20:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [17:20:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [17:20:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:20:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 8 u1: . st: NotStopd t0: [17:20:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [17:20:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:20:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:20:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [17:20:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 363 u1: ml/B st: NotStopd t0: [17:20:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [17:20:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:25:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [17:25:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [17:25:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:30:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [17:50:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:50:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:50:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:50:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:50:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:50:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [17:50:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:50:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:50:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [17:50:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:50:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [17:50:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:55:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [18:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [18:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 20/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [18:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [18:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:20:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:20:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:20:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:20:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:20:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:20:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [18:20:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [18:20:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:20:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [18:20:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:20:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [18:20:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [18:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [18:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [19:00:00 20/06/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 20/06/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [18:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [18:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [18:30:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [18:30:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:45:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [18:45:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 10 u1: . st: NotStopd t0: [19:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [19:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [19:00:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [19:00:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [19:00:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RN v1: 10.7 u1: L/min st: NotStopd t0: [19:00:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [19:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [19:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [19:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 10 u1: . st: NotStopd t0: [19:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.6 u1: kg st: NotStopd t0: [19:00:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RN v1: 410 u1: ml/B st: NotStopd t0: [19:00:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [19:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [19:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [20:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 20/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 20/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 20/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 20/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [20:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 20/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 20/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 20/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 20/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 20/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 20/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 20/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [20:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 142 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [20:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [20:00:00 20/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 20/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 20/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 20/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 20/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 20/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 20/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [20:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd
t0: [20:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [20:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [20:00:00 20/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd
t0: [19:49:00 20/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.7612 u1: ml/dl st: NotStopd t0: [19:49:00 20/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [19:49:00 20/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [20:34:00 20/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:34:00 20/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:34:00 20/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:34:00 20/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:34:00 20/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:34:00 20/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:34:00 20/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:34:00 20/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [20:34:00 20/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:34:00 20/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:34:00 20/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [20:34:00 20/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:34:00 20/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:34:00 20/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:34:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:34:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:34:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:34:00 20/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 493 u1: ml/B st: NotStopd t0: [20:34:00 20/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:34:00 20/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
tf: [15:00:00 22/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 21, 9 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 250 u1: mg
t0: [21:00:00 20/06/2015] id: Pain Level el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [21:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 20/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [21:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [21:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [21:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 20/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [21:00:00 20/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [21:00:00 20/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Movement/Turning st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: Unable to score st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [21:00:00 20/06/2015] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Repositioned st: NotStopd t0: [21:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [21:00:00 20/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [21:00:00 20/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [21:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [21:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [21:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [21:00:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 20/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [21:00:00 20/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 20/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 50 vu: ml t0: [21:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [21:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [23:00:00 20/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 170 ap: none
t0: [22:00:00 20/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 20/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 20/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [22:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 20/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [22:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 162 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [22:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [22:00:00 20/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [22:00:00 20/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 20/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 20/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 20/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 20/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 20/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 20/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 20/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [22:00:00 20/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd
t0: [22:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [22:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [22:50:00 20/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [22:50:00 20/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [23:00:00 20/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [23:00:00 20/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 20/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 20/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 20/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [23:00:00 20/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 20/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [23:00:00 20/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 20/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 20/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:00:00 20/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 20/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 20/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [23:00:00 20/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [23:00:00 20/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 60 cv: 60 ap: none t0: [23:00:00 20/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: 35 ap: none t0: [23:00:00 20/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 5 cv: 950 ap: none t0: [23:00:00 20/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 95 cv: 3030 ap: none t0: [23:00:00 20/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 90 cv: 1910 ap: none t0: [23:00:00 20/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 60 cv: 2696 ap: none t0: [23:00:00 20/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: 334 ap: carryForward t0: [23:00:00 20/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 60 cv: 2696 ap: carryForward t0: [23:00:00 20/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: 8496.86 ap: carryForward
t0: [20:00:00 20/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 20/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 20/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Small st: NotStopd t0: [20:00:00 20/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 20/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 21/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 21/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 21/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [00:00:00 21/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 21/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 21/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 21/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Clear st: NotStopd t0: [00:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd
t0: [00:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 21/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 21/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 21/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 21/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 21/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 127 rs: Manual st: NotStopd
t0: [00:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [00:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [00:02:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:02:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:02:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:02:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:02:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:02:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:02:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:02:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [00:02:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:02:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:02:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.67 u1: L/min st: NotStopd t0: [00:02:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:02:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:02:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:02:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:02:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:02:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [00:02:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:02:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 412 u1: ml/B st: NotStopd t0: [00:02:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:02:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 21/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 21/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [00:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [00:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 66 u1: BPM st: NotStopd t0: [00:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 149 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [00:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [00:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [01:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [01:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [01:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [01:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [01:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [01:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [01:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [01:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [01:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [01:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 21/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 21/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 21/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [01:00:00 21/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [01:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [02:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [02:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [02:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [02:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [02:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [02:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [02:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 85 vu: ml
t0: [03:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [03:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [03:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [03:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [03:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.6 u1: kg st: NotStopd t0: [03:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [02:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [02:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [04:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [04:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [04:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 21/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 21/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 21/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Other st: NotStopd t0: [04:00:00 21/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [04:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 21/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 21/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 21/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 21/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 21/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 21/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Small st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 21/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 21/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 21/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 21/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [04:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [04:00:00 21/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 21/06/2015] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [04:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [04:00:00 21/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 21/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [04:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 21/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [04:00:00 21/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Positive st: NotStopd t0: [04:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 21/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Icteric v2: Cloudy st: NotStopd t0: [04:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/06/2015] id: BSA - English el: 0 cu: CSRU cg: -1 v1: 1.37692 u1: m2 st: NotStopd t0: [04:00:00 21/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: -1 v1: 1.60497 u1: m2 st: NotStopd t0: [04:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [04:00:00 21/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/06/2015] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0 u1: kg st: NotStopd t0: [04:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/06/2015] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [04:00:00 21/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [04:00:00 21/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 21/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 14 u1: number st: NotStopd t0: [04:00:00 21/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [04:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [04:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [04:03:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:03:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:03:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:03:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:03:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:03:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:03:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:03:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [04:03:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:03:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:03:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.04 u1: L/min st: NotStopd t0: [04:03:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:03:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:03:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:03:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:03:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:03:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [04:03:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:03:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:20:00 21/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [05:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [05:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [05:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 149 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [05:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [05:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [05:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [05:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:20:00 21/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.4138 u1: ml/dl st: NotStopd t0: [04:20:00 21/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.3 u1: % rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.4 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.87 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 rs: Final st: NotStopd
t0: [05:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [05:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [04:20:00 21/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 57 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 74 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [04:20:00 21/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd
t0: [06:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [06:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [06:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [06:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [06:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [06:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [06:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [06:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [06:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/06/2015] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd
t0: [06:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [06:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [06:00:00 21/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 153 rs: Manual st: NotStopd
t0: [06:18:00 21/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 82.6772 u1: units st: NotStopd t0: [06:18:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [06:18:00 21/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 82.6772 u1: units st: NotStopd t0: [06:18:00 21/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [06:18:00 21/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.254 u1: L st: NotStopd
t0: [07:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [07:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [07:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 149 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [07:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [07:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 87.9 u1: kg st: NotStopd t0: [07:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [07:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [08:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [08:00:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [08:00:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 6 u1: . st: NotStopd t0: [08:00:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 415 u1: ml/B st: NotStopd t0: [08:00:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 21/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 21/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 21/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 21/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 21/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 21/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [08:00:00 21/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 21/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 21/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 21/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [08:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [08:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [08:00:00 21/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 21/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Clear st: NotStopd t0: [08:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 21/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [09:00:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [09:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [08:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [09:30:00 21/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.5378 u1: ml/dl st: NotStopd t0: [09:30:00 21/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 183 u1: mmHg rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [09:30:00 21/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
tf: [09:00:00 22/06/2015] pt: IV Piggyback rt: IV fr: 1X fs: 10 dn: 1 m1: Methylprednisolone Na Succ. f1: INJ v1: 20 u1: mg m2: Syringe f2: INJ v2: 1 u2: SYR
t0: [09:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [09:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [09:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [09:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [10:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [10:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [10:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml t0: [10:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [10:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [11:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [11:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [11:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [11:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [11:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [11:00:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 5 u1: . st: NotStopd t0: [11:00:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RN v1: CPAP+PS st: NotStopd t0: [11:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [12:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [12:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [12:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [12:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [12:00:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:00:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [12:00:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [12:00:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [12:00:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [07:37:00 21/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 417 rs: Final st: NotStopd
t0: [12:00:00 21/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 236 rs: Manual st: NotStopd
t0: [13:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [13:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [13:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [13:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml t0: [13:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 270 vu: ml t0: [13:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [13:00:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [13:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [13:34:00 21/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.6967 u1: ml/dl st: NotStopd t0: [13:34:00 21/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 185 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:34:00 21/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [14:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [14:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [14:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 149 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [14:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [14:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [14:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [14:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [15:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [15:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [15:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [15:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [15:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [16:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [16:00:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:00:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [16:00:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [16:00:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [16:00:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 21/06/2015] id: Gastric Nasogastric el: 2 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [10:00:00 21/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [10:00:00 21/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 21/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [11:00:00 21/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [11:00:00 21/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 21/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [15:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 21/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 21/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 21/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [16:00:00 21/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Yellow v2: Moderate st: NotStopd t0: [16:00:00 21/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 21/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [16:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [16:00:00 21/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [16:00:00 21/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 21/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 21/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [16:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd
t0: [17:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [17:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [17:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [17:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [17:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [17:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [17:26:00 21/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 258 rs: Final st: NotStopd
t0: [17:45:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:45:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:45:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:45:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:45:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [17:45:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [17:45:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:45:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [17:45:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:45:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [17:45:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [18:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [18:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [18:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [18:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 21/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [18:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [18:40:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [19:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [19:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [19:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [19:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [19:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [17:26:00 21/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 6.1 rs: Final st: NotStopd
tf: [18:00:00 22/06/2015] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [20:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [20:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [20:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [20:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [20:00:00 21/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [20:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 21/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [20:00:00 21/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [20:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 21/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [20:00:00 21/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [20:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 700 vu: ml
tf: [15:00:00 22/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) f1: SOLN v1: 225 u1: mg
t0: [19:49:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [19:49:00 21/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:49:00 21/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:49:00 21/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:49:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:49:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [19:49:00 21/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [19:49:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [19:49:00 21/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [19:49:00 21/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [19:49:00 21/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [19:49:00 21/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:49:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:49:00 21/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [19:49:00 21/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:49:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [19:49:00 21/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [19:49:00 21/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:49:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:17:00 21/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 148 u1: mmHg rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [20:17:00 21/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.7 rs: Final st: NotStopd
t0: [20:18:00 21/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [20:00:00 21/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [21:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [21:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [21:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 270 vu: ml
t0: [21:45:00 21/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd
t0: [22:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 21/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 21/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 21/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 21/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 21/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [22:00:00 21/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [22:00:00 21/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 21/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [22:00:00 21/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [22:00:00 21/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 21/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 21/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 21/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 21/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [22:00:00 21/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [22:00:00 21/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 21/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [22:00:00 21/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 21/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 21/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 21/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 21/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 21/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [22:00:00 21/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 21/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 21/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [22:00:00 21/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 21/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/06/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 128 vo: 0 vu: ml t0: [22:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [22:00:00 21/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [23:00:00 21/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 3245 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 3245 ap: carryForward
t0: [00:11:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:11:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:11:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:11:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:11:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:11:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:11:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [00:11:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [00:11:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:11:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:11:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:11:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:11:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:11:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:11:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:11:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 93 u1: % st: NotStopd t0: [00:11:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 443 u1: ml/B st: NotStopd t0: [00:11:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:11:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 21/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 21/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 21/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [23:00:00 21/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [23:00:00 21/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [23:00:00 21/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 21/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 21/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [00:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [00:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [00:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [00:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 21/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [00:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [00:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [23:00:00 21/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 95 cv: 95 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 5 cv: 880 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 95 cv: 3040 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 90 cv: 2160 ap: none t0: [23:00:00 21/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 95 cv: -205 ap: carryForward t0: [23:00:00 21/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 95 cv: 8291.86 ap: carryForward t0: [23:00:00 22/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: 3161 pv: 200 cv: 200 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: 3161 pv: 200 cv: 3500 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: 3161 pv: 200 cv: 3500 ap: carryForward
t0: [00:45:00 22/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [00:45:00 22/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 rs: Final st: NotStopd
t0: [01:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [01:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [01:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [01:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [01:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [01:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [23:00:00 22/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: 3161 pv: -105 cv: -105 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: 3161 pv: 5 cv: 850 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: 3161 pv: 95 cv: 3085 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: 3161 pv: 90 cv: 2160 ap: none t0: [23:00:00 22/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -105 cv: -415 ap: carryForward t0: [23:00:00 22/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -105 cv: 7876.86 ap: carryForward
t0: [01:00:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [01:00:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [01:00:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [01:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [01:00:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd
t0: [00:00:00 22/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 22/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [00:00:00 22/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [02:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 22/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 22/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 22/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 22/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [02:00:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [02:00:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [02:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 22/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [02:00:00 22/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 22/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 22/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [02:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 22/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 22/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [02:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [04:00:00 22/06/2015] id: Albumin 25% Tube Feeding el: 1 cu: CSRU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [01:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [03:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [03:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [03:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [02:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml t0: [03:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [03:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [04:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [04:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:18:00 22/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:18:00 22/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd
t0: [04:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [04:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [04:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [04:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [04:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:21:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:21:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:21:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:21:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:21:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:21:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:21:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [04:21:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [04:21:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:21:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:21:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [04:21:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:21:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:21:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:21:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:21:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:21:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:21:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:21:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 609 u1: ml/B st: NotStopd t0: [04:21:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:21:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:10:00 22/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.5 u1: % rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 u1: gm/dl rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 82 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd
t0: [04:10:00 22/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 46 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 61 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 167 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:10:00 22/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [05:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [05:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [05:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [05:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:10:00 22/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.7 rs: Final st: NotStopd
t0: [06:00:00 22/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 55.409 u1: units st: NotStopd t0: [06:00:00 22/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 55.409 u1: units st: NotStopd t0: [06:00:00 22/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [06:00:00 22/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.379 u1: L st: NotStopd
t0: [06:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [06:00:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [06:00:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [06:00:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [06:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [06:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [06:00:00 22/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [06:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [06:00:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [06:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [06:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [07:00:00 22/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: NA v1: 162 rs: Manual st: NotStopd
t0: [07:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [07:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [07:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [07:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [01:00:00 02/07/2015] pt: IV Piggyback rt: IV fr: BID fs: 08, 20 dn: 2 m1: Mycophenolate Mofetil f1: INJ v1: 1000 u1: mg m2: D5W f2: INJ v2: 140 u2: ml
t0: [08:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [08:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml
t0: [08:27:00 22/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.2398 u1: ml/dl st: NotStopd t0: [08:27:00 22/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 189 u1: mmHg rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [08:27:00 22/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [08:50:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:50:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:50:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:50:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:50:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:50:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:50:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [08:50:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [08:50:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [08:50:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [08:50:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [08:50:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:50:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:50:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [08:50:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:50:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:50:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [08:50:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:50:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:28:00 22/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [08:00:00 22/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 22/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 22/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 22/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [09:00:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [09:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [09:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [09:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [09:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [09:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [09:00:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [09:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 22/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 22/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [07:00:00 22/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [07:00:00 22/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [07:00:00 22/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [07:00:00 22/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 22/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 22/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 22/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 22/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [08:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 22/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [08:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 22/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 22/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 22/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [09:00:00 22/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [09:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 22/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 22/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [09:00:00 22/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [09:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 22/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [09:00:00 22/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [09:00:00 22/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [09:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [09:00:00 22/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 22/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 22/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [09:00:00 22/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 22/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 45 vu: ml t0: [08:00:00 22/06/2015] id: GT Flush PO/Gastric el: 1 cu: CSRU cg: RN ai: 338 vo: 30 vu: ml t0: [08:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml t0: [09:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [09:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [23:00:00 22/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
tf: [15:00:00 22/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [06:00:00 14/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sulfame v1: 10 u1: ml tf: [07:00:00 14/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sulfame v1: 10 u1: ml
t0: [11:10:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:10:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:10:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:10:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:10:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:10:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:10:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [11:10:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [11:10:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [11:10:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [11:10:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [11:10:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:10:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:10:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:10:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:10:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [11:10:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [11:10:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:10:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [10:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [10:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [11:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [11:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [11:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [12:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [12:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [12:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [10:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml t0: [11:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [11:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml t0: [12:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [12:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [13:00:00 22/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 54.3478 u1: units st: NotStopd t0: [13:00:00 22/06/2015] id: Neg Insp Force(>-25) el: 0 cu: CSRU cg: RRT v1: 40 u1: . st: NotStopd t0: [13:00:00 22/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 54.3478 u1: units st: NotStopd t0: [13:00:00 22/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [13:00:00 22/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.46 u1: L st: NotStopd t0: [13:00:00 22/06/2015] id: Vital Cap (>1.0)L el: 0 cu: CSRU cg: RRT v1: 0.8 u1: liters st: NotStopd
t0: [13:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [13:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [13:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [13:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:00:00 20/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [06:00:00 21/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 87.9 u1: kg st: NotStopd t0: [11:00:00 22/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 87.9 u1: kg st: NotStopd t0: [12:00:00 22/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 87.9 u1: kg st: NotStopd t0: [13:43:00 22/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 173 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [23:00:00 22/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: 3161 cv: 75 ap: none
t0: [13:43:00 22/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.0321 u1: ml/dl st: NotStopd t0: [13:43:00 22/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 240 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.26 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [13:43:00 22/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [09:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [13:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [14:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [14:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [14:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [14:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [14:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [10:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [10:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [10:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [11:00:00 22/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 22/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 22/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 22/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 22/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 22/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [12:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 22/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [13:00:00 22/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 22/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [13:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [13:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [13:00:00 22/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [14:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [14:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [14:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [14:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [14:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [14:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [15:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [15:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [15:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [15:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [15:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 22/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [15:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [15:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [15:40:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:40:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:40:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:40:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [15:40:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:40:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:40:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [15:40:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [15:40:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [15:40:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [15:40:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [15:40:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:40:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:40:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:40:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:40:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:40:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [15:40:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:40:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 22/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 22/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [16:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/06/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 22/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 22/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [16:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [16:00:00 22/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [16:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [16:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [16:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [08:28:00 22/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 353 rs: Final st: NotStopd
tf: [14:00:00 27/06/2015] pt: Unit Dose rt: PO fr: Q24H fs: 18 dn: 1 m1: Fluconazole v1: 200 u1: mg
t0: [18:03:00 22/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.2243 u1: ml/dl st: NotStopd t0: [18:03:00 22/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 184 u1: mmHg rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 275 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.7 rs: Final st: NotStopd t0: [18:03:00 22/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [17:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [17:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [17:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [17:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [17:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [18:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [18:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [18:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [18:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [17:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [18:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [17:00:00 22/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 22/06/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 22/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 22/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 22/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 22/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Icteric v2: Cloudy st: NotStopd t0: [18:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 22/06/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [19:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [19:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [19:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [19:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [19:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [19:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [19:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [19:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [19:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
tf: [19:00:00 23/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 150 u1: mg
t0: [20:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [20:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [20:00:00 22/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [20:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 22/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 22/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [20:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 22/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 22/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 22/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 22/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 22/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [20:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [20:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [20:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:25:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:25:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:25:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:25:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:25:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:25:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:25:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [20:25:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [20:25:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [20:25:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [20:25:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [20:25:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:25:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:25:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:25:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:25:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:25:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 439 u1: ml/B st: NotStopd t0: [20:25:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:25:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [21:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [21:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [21:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [22:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 22/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 22/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 22/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [22:00:00 22/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 22/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 22/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [22:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 22/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 22/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [22:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 22/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 22/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 22/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [22:00:00 22/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 22/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 22/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 22/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 22/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 22/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 22/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 22/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [21:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [21:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [22:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [22:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [22:00:00 22/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [22:00:00 22/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [22:00:00 22/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 22/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 22/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 22/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 22/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 22/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 22/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 22/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 22/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [22:00:00 22/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 22/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 22/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [22:00:00 22/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 22/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 22/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 22/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 22/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 22/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
tf: [21:00:00 23/06/2015] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [23:00:00 22/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 22/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 22/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 22/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [23:00:00 22/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 22/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [23:00:00 22/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 22/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 22/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [23:00:00 22/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:09:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd
t0: [23:43:00 22/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:43:00 22/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:43:00 22/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:43:00 22/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [23:43:00 22/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [23:43:00 22/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [23:43:00 22/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [23:43:00 22/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [23:43:00 22/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [23:43:00 22/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [23:43:00 22/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.35 u1: L/min st: NotStopd t0: [23:43:00 22/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:43:00 22/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:43:00 22/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [23:43:00 22/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:43:00 22/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [23:43:00 22/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 591 u1: ml/B st: NotStopd t0: [23:43:00 22/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:43:00 22/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [00:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [00:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [00:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 23/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 23/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [00:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [00:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [00:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 23/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 23/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [00:00:00 23/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 167 rs: Manual st: NotStopd
t0: [01:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [01:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [01:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [01:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [01:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [01:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [02:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [02:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 23/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 23/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [02:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [02:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [02:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [02:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [02:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 23/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [02:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 23/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [02:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 23/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [02:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [02:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [03:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [03:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [03:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [03:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [03:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:50:00 23/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 183 u1: mmHg rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [02:50:00 23/06/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [02:53:00 23/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.5 u1: % rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 rs: Final st: NotStopd
t0: [02:53:00 23/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.6 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 24.2 rs: Final st: NotStopd
t0: [02:53:00 23/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 39 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 165 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 182 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [02:53:00 23/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [03:37:00 23/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:37:00 23/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:37:00 23/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [03:37:00 23/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [03:37:00 23/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:37:00 23/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [03:37:00 23/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [03:37:00 23/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [03:37:00 23/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [03:37:00 23/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [03:37:00 23/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [03:37:00 23/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:37:00 23/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [03:37:00 23/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [03:37:00 23/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [03:37:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [03:37:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [03:37:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [03:37:00 23/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 474 u1: ml/B st: NotStopd t0: [03:37:00 23/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:37:00 23/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [04:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 23/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 23/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [04:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [04:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 23/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [04:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [04:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [05:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml
t0: [05:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [05:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [05:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [05:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [05:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [06:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [06:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [06:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [06:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [06:01:00 23/06/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 64.6766 u1: units st: NotStopd t0: [06:01:00 23/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [06:01:00 23/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:01:00 23/06/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 64.6766 u1: units st: NotStopd t0: [06:01:00 23/06/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [06:01:00 23/06/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.402 u1: L st: NotStopd
t0: [06:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [06:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [06:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [07:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [07:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [07:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml t0: [08:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [08:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 23/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 23/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd
t0: [08:30:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [08:50:00 23/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:50:00 23/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:50:00 23/06/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:50:00 23/06/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:50:00 23/06/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:50:00 23/06/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:50:00 23/06/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [08:50:00 23/06/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 18 st: NotStopd t0: [08:50:00 23/06/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4.5 st: NotStopd t0: [08:50:00 23/06/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:50:00 23/06/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [08:50:00 23/06/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:50:00 23/06/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:50:00 23/06/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:50:00 23/06/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:50:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:50:00 23/06/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [08:50:00 23/06/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:50:00 23/06/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
tf: [01:00:00 02/07/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 18 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
t0: [09:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [09:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 23/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [09:00:00 23/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [09:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [23:00:00 23/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [08:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [08:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [09:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [09:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd
t0: [10:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [10:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
tf: [19:00:00 23/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
t0: [08:00:00 23/06/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 128 vo: 0 vu: ml
t0: [10:40:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:40:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:40:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:40:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:40:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:40:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:40:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [10:40:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [10:40:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:40:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [10:40:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:40:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [10:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [10:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [10:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [10:00:00 23/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [09:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vu: ml t0: [10:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vu: ml t0: [11:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml nb: 1 t0: [11:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [11:15:00 23/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 169 rs: Manual st: NotStopd
t0: [11:45:00 23/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.1306 u1: ml/dl st: NotStopd t0: [11:45:00 23/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [11:45:00 23/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [08:00:00 23/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 23/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 23/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 23/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [12:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [12:00:00 23/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [13:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [13:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [13:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd
t0: [13:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml
t0: [13:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [12:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [14:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [14:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [14:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [14:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.7 u1: Deg. F st: NotStopd
t0: [12:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [14:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 23/06/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [14:00:00 23/06/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [14:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [15:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 162 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [15:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [15:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 23/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 87.9 u1: kg st: NotStopd t0: [15:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [15:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 23/06/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.36031 u1: m2 st: NotStopd t0: [15:00:00 23/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.58603 u1: m2 st: NotStopd t0: [15:00:00 23/06/2015] id: Weight Change el: 0 cu: CSRU cg: RN v1: -1.9 u1: kg st: NotStopd t0: [15:00:00 23/06/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd
t0: [15:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [15:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml
t0: [08:44:00 23/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 322 rs: Final st: NotStopd
t0: [16:00:00 23/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:00:00 23/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [16:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd t0: [16:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 23/06/2015] tf: [11:00:00 24/06/2015] dt: 1140 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [10:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd
t0: [17:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [17:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [17:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd t0: [17:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [17:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [17:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [17:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd
t0: [17:45:00 23/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: PCT v1: 227 rs: Manual st: NotStopd
t0: [16:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 23/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 23/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 23/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 23/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Brown v2: Moderate st: NotStopd t0: [18:00:00 23/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [18:00:00 23/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 23/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [18:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 23/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd t0: [18:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 23/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [19:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [19:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [19:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd t0: [19:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [19:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [19:00:00 23/06/2015] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 23/06/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:00:00 23/06/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 24 st: NotStopd t0: [20:00:00 23/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 23/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 23/06/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [20:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 23/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 23/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 23/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 23/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [20:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 23/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 23/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd
tf: [19:00:00 24/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 150 u1: mg
t0: [20:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [20:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [20:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [20:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [20:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 23/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [20:00:00 23/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 23/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 23/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [20:00:00 23/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd
t0: [20:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [20:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [21:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [21:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [21:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [21:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [21:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [21:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [21:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [21:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [21:21:00 23/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [21:21:00 23/06/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.6633 u1: ml/dl st: NotStopd t0: [21:21:00 23/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [21:21:00 23/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [21:21:00 23/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 217 u1: mmHg rs: Final st: NotStopd t0: [21:21:00 23/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [21:21:00 23/06/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [21:21:00 23/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: -1 v1: . rs: Final st: NotStopd
t0: [22:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [22:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [22:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 159 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [22:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [22:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [22:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [22:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [22:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [22:00:00 23/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 23/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 23/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:00:00 23/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 23/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [22:00:00 23/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 23/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:00:00 23/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 23/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 23/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [23:00:00 23/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [23:00:00 23/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [23:00:00 23/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 23/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 23/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 23/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [23:00:00 23/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 23/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 160 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [23:00:00 23/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [23:00:00 23/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 23/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [23:00:00 23/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [23:00:00 23/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 23/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 23/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 23/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [23:00:00 23/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [23:00:00 23/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 60 cv: 60 ap: none t0: [23:00:00 23/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: 35 ap: none t0: [23:00:00 23/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 5 cv: 720 ap: none t0: [23:00:00 23/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 95 cv: 2250 ap: none t0: [23:00:00 23/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 90 cv: 1530 ap: none t0: [23:00:00 23/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 60 cv: 3580 ap: none t0: [23:00:00 23/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: -1330 ap: carryForward t0: [23:00:00 23/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 60 cv: 3580 ap: carryForward t0: [23:00:00 23/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 35 cv: 6546.86 ap: carryForward
t0: [20:00:00 23/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 23/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 23/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [22:00:00 23/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 23/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [22:00:00 23/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [22:00:00 23/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 23/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 23/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 23/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 23/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 23/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 24/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [00:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [00:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 24/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 24/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 24/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [00:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 24/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 24/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 24/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 24/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 24/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 24/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 24/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 24/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 24/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [00:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 24/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [00:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [00:00:00 24/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [00:00:00 24/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 24/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 24/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 24/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 24/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 173 rs: Manual st: NotStopd t0: [01:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [01:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [01:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 146 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [01:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [01:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [00:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [01:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [01:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 24/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 60 cv: 60 ap: none t0: [23:00:00 24/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 85 cv: 85 ap: none t0: [23:00:00 24/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 55 cv: 980 ap: none t0: [23:00:00 24/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 145 cv: 2510 ap: none t0: [23:00:00 24/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 90 cv: 1530 ap: none t0: [23:00:00 24/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 60 cv: 2782 ap: none t0: [23:00:00 24/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 85 cv: -272 ap: carryForward t0: [23:00:00 24/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 60 cv: 2782 ap: carryForward t0: [23:00:00 24/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 85 cv: 6274.86 ap: carryForward
t0: [02:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [02:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [02:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [02:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [02:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [02:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [02:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 24/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [02:00:00 24/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [02:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [02:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [02:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [02:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [02:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [02:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [02:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [02:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml
t0: [02:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [03:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [03:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [03:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [03:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [03:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [03:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [02:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 24/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [02:00:00 24/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [02:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 24/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd
t0: [03:34:00 24/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:34:00 24/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:34:00 24/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:34:00 24/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [03:34:00 24/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 201 u1: mmHg rs: Final st: NotStopd t0: [03:34:00 24/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [03:34:00 24/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd
t0: [04:00:00 24/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [04:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [04:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 24/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 13 u1: points st: NotStopd t0: [04:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 24/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 24/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [04:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 24/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 24/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 24/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 24/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 24/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 24/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 24/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 24/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 24/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 24/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [04:00:00 24/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [04:00:00 24/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [04:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [04:00:00 24/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [04:00:00 24/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 24/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 24/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 24/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [04:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 35.7778 u1: Deg. C st: NotStopd t0: [04:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 96.4 u1: Deg. F st: NotStopd t0: [04:00:00 24/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 24/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [04:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [04:00:00 24/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 24/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [04:15:00 24/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.7 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.6 u1: % rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 81 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.7 rs: Final st: NotStopd
t0: [04:15:00 24/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.2 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 24.4 rs: Final st: NotStopd
t0: [05:05:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [05:05:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [05:05:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:05:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:05:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:05:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:05:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [05:05:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:05:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 150 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [05:05:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [05:05:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [05:05:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [05:05:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:05:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:05:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [05:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 130 vu: ml
t0: [04:15:00 24/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 69 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 168 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [04:15:00 24/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [04:15:00 24/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.9 rs: Final st: NotStopd t0: [06:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [06:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [06:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [06:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [06:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [06:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [06:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [06:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [06:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [06:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [06:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [06:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 157 rs: Manual st: NotStopd
t0: [07:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [07:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [07:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [07:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 156 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [07:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [07:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 86 u1: kg st: NotStopd t0: [07:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [07:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
t0: [08:00:00 24/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 24/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [08:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 24/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 24/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 24/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 24/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 24/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 24/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 24/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [08:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [08:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/06/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 86 u1: kg st: NotStopd t0: [08:00:00 24/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 24/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 24/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [08:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.5 u1: Deg. F st: NotStopd t0: [08:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/06/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.34351 u1: m2 st: NotStopd t0: [08:00:00 24/06/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.56692 u1: m2 st: NotStopd t0: [08:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/06/2015] id: Weight Change el: 0 cu: CSRU cg: RN v1: -1.9 u1: kg st: NotStopd t0: [08:00:00 24/06/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [08:00:00 24/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [08:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
tf: [11:00:00 25/06/2015] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 5 u1: UNIT
tf: [19:00:00 24/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
t0: [08:00:00 24/06/2015] id: chest pt el: 0 cu: CSRU cg: RN v1: r/l t0: [09:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [09:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 24/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 170 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [09:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [09:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [09:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 24/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/06/2015] id: chest pt el: 0 cu: CSRU cg: RN v1: r/l t0: [10:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [10:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 24/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [10:00:00 24/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 24/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [10:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 164 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [10:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [10:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [10:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml t0: [10:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [11:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [11:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [11:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [11:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 24/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [12:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [12:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [12:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 24/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [12:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [12:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [13:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [13:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [11:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 200 rs: Manual st: NotStopd t0: [13:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 187 rs: Manual st: NotStopd
t0: [23:00:00 24/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [14:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [14:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [14:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [11:00:00 25/06/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [14:00:00 24/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 24/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [17:00:00 24/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [17:00:00 24/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 24/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [17:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 24/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [17:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [17:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [17:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [17:00:00 24/06/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd t0: [17:00:00 24/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 24/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 24/06/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN st: NotStopd t0: [17:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 24/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [17:00:00 24/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [17:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [17:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [17:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
tf: [11:00:00 25/06/2015] pt: Unit Dose rt: SC fr: DINNER fs: 17 dn: 1 m1: Insulin Human NPH v1: 5 u1: UNIT
t0: [07:50:00 24/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 308 rs: Final st: NotStopd
t0: [17:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 159 rs: Manual st: NotStopd
t0: [18:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 165 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [18:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [18:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [18:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/06/2015] tf: [10:00:00 25/06/2015] dt: 960 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vu: ml st: Stopped t0: [12:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vu: ml t0: [15:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml t0: [15:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [17:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vu: ml st: Restart t0: [18:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [19:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 164 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [19:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [19:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [19:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/06/2015] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 128 vo: 0 vu: ml t0: [19:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [19:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [20:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [20:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 150 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [20:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [20:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [20:00:00 24/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [20:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 24/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 24/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 24/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [20:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [20:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 560 vu: ml
tf: [18:00:00 25/06/2015] pt: Unit Dose rt: PO fr: BID fs: 20, 08 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 175 u1: mg
t0: [20:00:00 24/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 24/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [20:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 24/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 24/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 24/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 24/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 24/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 24/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 24/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 24/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 24/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 24/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 24/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 24/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 24/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 24/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 24/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [20:00:00 24/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 24/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 186 rs: Manual st: NotStopd t0: [20:00:00 24/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [21:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [21:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [21:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [21:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 24/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 24/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 24/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 24/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd
t0: [21:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [21:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 220 vu: ml
t0: [22:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 24/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 24/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:00:00 24/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [22:00:00 24/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 24/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 24/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 157 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [22:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [22:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [22:00:00 24/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 24/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 24/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [22:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [22:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 37 vu: ml
tf: [09:00:00 25/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [23:00:00 24/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [23:00:00 24/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 24/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 24/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 24/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 24/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [23:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 24/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [23:00:00 24/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 24/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 24/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [23:00:00 24/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 24/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 24/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 24/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [23:00:00 24/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [00:00:00 25/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [00:00:00 25/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 25/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 25/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [00:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 25/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 25/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 25/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 25/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [00:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [00:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [00:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 25/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 25/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 25/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [00:00:00 25/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 25/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [00:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [23:00:00 25/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 25/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: 230 cv: 230 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 110 cv: 830 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 330 cv: 3130 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 pv: 180 cv: 2070 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 100 cv: 3750 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: 230 cv: -620 ap: none t0: [23:00:00 25/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 100 cv: 3750 ap: none t0: [23:00:00 25/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: 230 cv: 5654.86 ap: carryForward
t0: [00:00:00 25/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 149 rs: Manual st: NotStopd
t0: [00:00:00 25/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples st: NotStopd t0: [00:00:00 25/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous st: NotStopd t0: [00:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 25/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [01:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [01:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [01:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [01:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [01:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [02:00:00 25/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [02:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [02:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [02:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [02:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [02:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [02:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sleeping st: NotStopd t0: [02:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 141 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [02:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [02:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [02:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [02:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [02:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [02:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [03:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [03:00:00 25/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [03:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [03:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [03:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [03:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [04:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 25/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [04:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 25/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [04:00:00 25/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 25/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples st: NotStopd t0: [04:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 25/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 155 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [04:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [04:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [04:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 25/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 25/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [04:00:00 25/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [04:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 25/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [04:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [02:00:00 25/06/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 84.1 u1: kg st: NotStopd t0: [04:19:00 25/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [04:19:00 25/06/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.26 rs: Final st: NotStopd
t0: [22:00:00 24/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd
t0: [05:11:00 25/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.6 u1: % rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.4 u1: gm/dl rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.83 u1: /mic l rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd
t0: [05:11:00 25/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 23.9 rs: Final st: NotStopd
t0: [05:11:00 25/06/2015] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 59 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 161 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [05:11:00 25/06/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd
t0: [05:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [05:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [05:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 151 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [05:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [05:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [05:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [06:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [06:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [06:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [06:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [06:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [06:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [06:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [06:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 146 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [06:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [06:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [06:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [06:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [06:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [06:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 400 vu: ml
t0: [06:00:00 25/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 174 rs: Manual st: NotStopd
t0: [05:11:00 25/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.9 rs: Final st: NotStopd
t0: [07:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [07:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [07:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [07:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [07:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [07:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [07:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [07:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [08:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [08:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 25/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 25/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 25/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [08:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [08:30:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [08:30:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:30:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 122 u1: BPM st: NotStopd t0: [08:30:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:30:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:30:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:30:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [08:30:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:30:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:30:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [09:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [09:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [09:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [09:00:00 25/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd
t0: [09:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [09:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [10:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [10:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [10:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 25/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [10:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml
t0: [10:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [10:00:00 25/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 25/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 25/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 25/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [10:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 25/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 25/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 25/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [10:00:00 25/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 25/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [10:00:00 25/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 25/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 25/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [10:00:00 25/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Incr Visibility st: NotStopd t0: [10:00:00 25/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 25/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 25/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [10:00:00 25/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [10:00:00 25/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
tf: [18:00:00 25/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [21:00:00 25/06/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Furosemide v1: 40 u1: mg tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
t0: [11:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [11:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [11:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [11:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 25/06/2015] tf: [00:29:00 27/06/2015] dt: 2249 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [11:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [11:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 25/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 25/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [11:00:00 25/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [11:00:00 25/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 163 rs: Manual st: NotStopd
t0: [12:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [12:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [12:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [12:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
tf: [09:00:00 09/07/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [09:00:00 09/07/2015] pt: Unit Dose rt: SC fr: Q12H fs: 12, 0 dn: 2 m1: Insulin Human NPH v1: 5 u1: UNIT
t0: [13:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [13:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [13:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [13:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [13:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [14:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 25/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 25/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [14:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 25/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 25/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [14:00:00 25/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [14:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 25/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml
t0: [15:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [15:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [15:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [15:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [15:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [15:00:00 25/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 25/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [15:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 25/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [15:00:00 25/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [15:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [15:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 25/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 25/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [15:00:00 25/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 25/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [15:00:00 25/06/2015] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Cleansing #2 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Large st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [15:00:00 25/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [15:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd
t0: [16:00:00 25/06/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 25/06/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:00:00 25/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [16:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 25/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [16:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [16:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [16:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [17:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [17:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [17:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [17:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 25/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 25/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 25/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 25/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 191 rs: Manual st: NotStopd
t0: [18:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [18:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 84.1 u1: kg st: NotStopd t0: [18:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [18:00:00 25/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 25/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [10:00:00 25/06/2015] id: chest pt el: 0 cu: CSRU cg: RN v1: done t0: [14:00:00 25/06/2015] id: chest pt el: 0 cu: CSRU cg: RN v1: done t0: [14:00:00 25/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 25/06/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 25/06/2015] id: chest pt el: 0 cu: CSRU cg: RN v1: done
tf: [18:00:00 26/06/2015] pt: Unit Dose rt: PO fr: BID fs: 20, 08 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 175 u1: mg
t0: [20:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [20:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [20:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [20:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [20:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 25/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 25/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 25/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [20:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 280 vu: ml
t0: [21:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [21:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [21:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [21:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [21:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [21:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [21:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
tf: [12:00:00 26/06/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [22:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [22:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [22:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [22:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 25/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [23:00:00 25/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 25/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 25/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [23:00:00 25/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 25/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [23:00:00 25/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 25/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 25/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [23:00:00 25/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 25/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 25/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 40 vu: ml t0: [23:00:00 25/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 25/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 40 vu: ml t0: [23:00:00 25/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [23:00:00 25/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 25/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 pv: 40 cv: 230 ap: none
t0: [20:00:00 25/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 25/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 25/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [20:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [20:00:00 25/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 25/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 25/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 25/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 25/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 25/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [20:00:00 25/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 25/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Large st: NotStopd t0: [20:00:00 25/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 25/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 25/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 25/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 25/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 25/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 25/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [22:00:00 25/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 25/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [22:00:00 25/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 25/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [22:00:00 25/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:00:00 25/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 25/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [22:00:00 25/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Large st: NotStopd t0: [22:00:00 25/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [22:00:00 25/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [22:00:00 25/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [22:00:00 25/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 25/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 25/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:00:00 25/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 25/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 25/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [22:00:00 25/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 25/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd
t0: [20:00:00 25/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 25/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 25/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 25/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 25/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 25/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [20:00:00 25/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [20:00:00 25/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [00:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [00:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 26/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [00:00:00 26/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [00:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [00:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [00:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [00:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Large st: NotStopd t0: [00:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [00:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [00:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [00:00:00 26/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 26/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 26/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [00:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 136 rs: Manual st: NotStopd t0: [00:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [00:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 575 vu: ml
t0: [01:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [01:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [01:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [01:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [01:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [01:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 525 vu: ml
t0: [02:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [02:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [02:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [02:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [02:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 340 vu: ml
t0: [20:00:00 25/06/2015] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Chairfast st: NotStopd t0: [20:00:00 25/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 25/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 25/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 25/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 25/06/2015] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [20:00:00 25/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [02:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [02:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [02:00:00 26/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [02:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [02:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [02:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Large st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: Other/Remarks v2: Scant st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [02:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [02:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [02:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [02:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [02:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [02:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [02:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd
t0: [03:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [03:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [03:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [03:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [03:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [03:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [03:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [03:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [03:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [03:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml
t0: [04:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [04:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [04:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [04:00:00 26/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [04:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [04:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [04:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [04:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 133 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [04:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [04:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [04:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [04:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [04:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [04:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [04:31:00 26/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.4 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.8 u1: % rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.74 u1: /mic l rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.4 rs: Final st: NotStopd
t0: [05:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [05:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [05:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [05:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [05:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [04:31:00 26/06/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.3 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 25.5 rs: Final st: NotStopd
t0: [04:31:00 26/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [04:31:00 26/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [04:31:00 26/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.5 rs: Final st: NotStopd t0: [05:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [05:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Large st: NotStopd t0: [05:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [05:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [05:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [05:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [05:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd
t0: [06:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [06:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [06:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 26/06/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [06:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 26/06/2015] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 84.1 u1: kg st: NotStopd t0: [06:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 90 vu: ml t0: [06:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [06:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [06:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [06:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [06:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [06:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [06:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [06:00:00 26/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 147 rs: Manual st: NotStopd
t0: [08:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 26/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 12 u1: points st: NotStopd t0: [08:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 129 u1: BPM st: NotStopd t0: [08:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Copious st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 26/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 26/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 26/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 26/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 26/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 26/06/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 26/06/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 26/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 90 vu: ml t0: [08:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 180 vu: ml t0: [08:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [09:21:00 26/06/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [09:21:00 26/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 201 rs: Final st: NotStopd
t0: [09:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 119 u1: BPM st: NotStopd t0: [09:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [09:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
tf: [18:00:00 26/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
t0: [10:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [10:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 119 u1: BPM st: NotStopd t0: [10:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [10:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [10:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [10:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [08:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [11:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [11:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [11:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 95 vu: ml
t0: [10:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [10:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Copious st: NotStopd t0: [10:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [10:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [10:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [10:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [10:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [12:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [12:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [12:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [12:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [12:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 26/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 26/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [12:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 26/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 26/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [12:00:00 26/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [12:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 26/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 174 rs: Manual st: NotStopd
t0: [12:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [12:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 26/06/2015] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [13:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [13:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [14:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [14:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [14:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [14:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 85 vu: ml
t0: [14:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [14:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [14:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [15:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [15:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [15:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Copious st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [15:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [15:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [15:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 26/06/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [15:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 26/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [15:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [08:14:00 26/06/2015] id: Cyclosporin Drug Level el: 0 cu: CSRU cg: 3161 v1: 267 rs: Final st: NotStopd
t0: [16:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [16:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [16:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [16:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 26/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [16:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 26/06/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 26/06/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 26/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [16:00:00 26/06/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [16:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [17:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [17:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/06/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [17:00:00 26/06/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94.3333 u1: mmHg st: NotStopd t0: [17:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [17:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: IV fr: Q4-6H:PRN m1: Hydralazine HCl v1: 10 u1: mg
t0: [18:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 26/06/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [18:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [18:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [18:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 13 u1: points st: NotStopd t0: [18:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Copious st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [18:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [18:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Right Lower Quad st: NotStopd t0: [18:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 26/06/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 26/06/2015] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 26/06/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [18:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 26/06/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 26/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 175 rs: Manual st: NotStopd
t0: [18:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 222 vo: 90 vu: ml t0: [18:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
tf: [19:00:00 27/06/2015] pt: Unit Dose rt: PO fr: BID fs: 20, 08 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 200 u1: mg
t0: [19:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [19:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [19:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [19:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [19:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [19:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/06/2015] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 26/06/2015] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [20:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [20:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 26/06/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/06/2015] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [20:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [20:00:00 26/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 26/06/2015] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 13 u1: points st: NotStopd t0: [20:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 26/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [20:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [20:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/06/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [20:00:00 26/06/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 26/06/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/06/2015] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [20:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [20:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 26/06/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 26/06/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [20:00:00 26/06/2015] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 26/06/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 26/06/2015] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [20:00:00 26/06/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [20:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/06/2015] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 26/06/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 60 vu: ml t0: [20:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 180 vu: ml t0: [20:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 210 vu: ml
t0: [23:00:00 26/06/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 150 ap: none
t0: [21:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [21:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [21:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [21:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [21:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 110 vu: ml t0: [21:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
tf: [10:00:00 01/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 26/06/2015] id: Service Type el: 0 cu: CSRU cg: -1 v1: NSICU st: NotStopd t0: [22:00:00 26/06/2015] id: CVP el: 0 cu: CSRU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [22:00:00 26/06/2015] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [22:00:00 26/06/2015] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 26/06/2015] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 26/06/2015] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Clear Liquid st: NotStopd t0: [22:00:00 26/06/2015] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/06/2015] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [22:00:00 26/06/2015] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 13 u1: points st: NotStopd t0: [22:00:00 26/06/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 26/06/2015] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 26/06/2015] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [22:00:00 26/06/2015] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 26/06/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 26/06/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [22:00:00 26/06/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 26/06/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 18 st: NotStopd t0: [22:00:00 26/06/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [22:00:00 26/06/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [22:00:00 26/06/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [22:00:00 26/06/2015] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 26/06/2015] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Pink st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Copious st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [22:00:00 26/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/06/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [22:00:00 26/06/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Right Lower Quad st: NotStopd t0: [22:00:00 26/06/2015] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [22:00:00 26/06/2015] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 26/06/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/06/2015] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 26/06/2015] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [22:00:00 26/06/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 26/06/2015] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 159 u1: mmHg v2: 103 u2: mmHg st: NotStopd t0: [22:00:00 26/06/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg st: NotStopd t0: [22:00:00 26/06/2015] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 26/06/2015] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [22:00:00 26/06/2015] id: Precautions el: 0 cu: CSRU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 26/06/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 26/06/2015] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [22:00:00 26/06/2015] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 26/06/2015] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [22:00:00 26/06/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 26/06/2015] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Relative st: NotStopd t0: [22:00:00 26/06/2015] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 26/06/2015] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 26/06/2015] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [22:00:00 26/06/2015] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 26/06/2015] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/06/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 26/06/2015] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 222 vo: 110 vu: ml t0: [22:00:00 26/06/2015] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml
t0: [23:00:00 26/06/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 26/06/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 26/06/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 cv: 645 ap: none t0: [23:00:00 26/06/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 cv: 2905 ap: none t0: [23:00:00 26/06/2015] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 cv: 2110 ap: none t0: [23:00:00 26/06/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 cv: 3510 ap: none t0: [23:00:00 26/06/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 cv: -605 ap: carryForward t0: [23:00:00 26/06/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 cv: 3510 ap: carryForward t0: [23:00:00 26/06/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 cv: 5049.86 ap: carryForward
t0: [00:29:00 27/06/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 2.03469 u1: m2 t0: [00:29:00 27/06/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 81.3 u1: kg t0: [00:29:00 27/06/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: Heparin Agents t0: [00:29:00 27/06/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 t0: [00:29:00 27/06/2015] id: Service el: 1026 cu: CCU cg: -1 v1: SUR t0: [00:29:00 27/06/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 72 u1: inches t0: [00:29:00 27/06/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [00:29:00 27/06/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: S t0: [00:29:00 27/06/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: PRO t0: [00:29:00 27/06/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [00:29:00 27/06/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [00:29:00 27/06/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [00:29:00 27/06/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
tf: [03:45:00 28/06/2015] dt: 1634 cu: CCU de: FA6A
t0: [01:00:00 27/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 107 rs: Manual st: NotStopd
t0: [00:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 27/06/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 13 u1: points st: NotStopd t0: [00:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 27/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [00:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serous v2: Copious st: NotStopd t0: [00:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 27/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 27/06/2015] id: NBP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [00:00:00 27/06/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [00:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 27/06/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 27/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 27/06/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 27/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [00:00:00 27/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 27/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 27/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Irritable st: NotStopd t0: [00:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 27/06/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 27/06/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [01:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 27/06/2015] id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [01:00:00 27/06/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [01:00:00 27/06/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 27/06/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [01:00:00 27/06/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [01:00:00 27/06/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [01:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/06/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 300 cv: 300 ap: none t0: [23:00:00 27/06/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -190 cv: -190 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1400 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 110 cv: 4510 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 110 cv: 2750 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 300 cv: 2145 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -190 cv: 1035 ap: none t0: [23:00:00 27/06/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 300 cv: 3475 ap: none t0: [23:00:00 27/06/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -190 cv: 6084.86 ap: carryForward
t0: [01:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [02:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [03:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [03:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [03:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd
t0: [04:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [04:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [04:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [04:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 27/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [04:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [04:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [04:00:00 27/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 27/06/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 27/06/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 27/06/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [04:00:00 27/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 27/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [04:00:00 27/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [04:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 3 Inapprop words st: NotStopd t0: [04:00:00 27/06/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Confused st: NotStopd t0: [04:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [05:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [05:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [05:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [05:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [05:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [06:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [06:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [06:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 156 rs: Manual st: NotStopd
t0: [06:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [06:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v2: Other/Remarks st: NotStopd
t0: [04:00:00 27/06/2015] tf: [03:45:00 28/06/2015] dt: 1425 id: Drain Out #1 Other el: 1 cu: CCU cg: RN vo: 350 vu: ml t0: [06:00:00 27/06/2015] id: Drain Out #1 Other el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [04:45:00 27/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.4 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.5 u1: % rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 125 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.72 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.4 rs: Final st: NotStopd
t0: [08:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [08:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/06/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [08:00:00 27/06/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 27/06/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/06/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [08:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serous st: NotStopd t0: [08:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serous v2: Small st: NotStopd t0: [08:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [08:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 27/06/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 27/06/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 27/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [08:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [08:00:00 27/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 27/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 27/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [08:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [04:45:00 27/06/2015] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 41 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.2 rs: Final st: NotStopd t0: [04:45:00 27/06/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd
t0: [04:45:00 27/06/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd
t0: [09:00:00 27/06/2015] id: NBP el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 27/06/2015] id: NBP Mean el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 27/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/06/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 27/06/2015] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [09:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [09:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [09:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [09:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/06/2015] id: Drain Out #1 Other el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [10:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [10:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [10:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [10:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
tf: [14:00:00 27/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [09:00:00 28/06/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
t0: [11:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [11:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [11:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [12:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [12:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 185 rs: Manual st: NotStopd
t0: [10:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 27/06/2015] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 27/06/2015] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 27/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 27/06/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 27/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [12:00:00 27/06/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/06/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 27/06/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Cleansing #2 el: 0 cu: CCU cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [12:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 27/06/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 27/06/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [12:00:00 27/06/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 27/06/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 27/06/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [13:00:00 27/06/2015] id: BSA - English el: 0 cu: CCU cg: CoWker v1: 1.27448 u1: m2 st: NotStopd t0: [13:00:00 27/06/2015] id: BSA - Metric el: 0 cu: CCU cg: CoWker v1: 1.4882 u1: m2 st: NotStopd t0: [13:00:00 27/06/2015] id: Weight Change el: 0 cu: CCU cg: CoWker v1: -7.6 u1: kg st: NotStopd t0: [13:00:00 27/06/2015] id: Daily Weight el: 0 cu: CCU cg: CoWker v1: 76.5 u1: kg st: NotStopd
t0: [13:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [13:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [13:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [14:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [14:00:00 27/06/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [14:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [14:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [14:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 27/06/2015] id: HOB el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [14:00:00 27/06/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 27/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 27/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [14:00:00 27/06/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [14:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 27/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 27/06/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [14:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [14:00:00 27/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 27/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [14:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [14:00:00 27/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 27/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [14:00:00 27/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [07:30:00 27/06/2015] id: Cyclosporin Drug Level el: 0 cu: CCU cg: 140 v1: 224 rs: Final st: NotStopd
t0: [12:00:00 27/06/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Yellow st: NotStopd t0: [12:00:00 27/06/2015] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 27/06/2015] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [15:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [15:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [15:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [15:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [15:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [16:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [16:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [16:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 27/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 27/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [16:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Cleansing #2 el: 0 cu: CCU cg: RN v1: Normal Saline st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [16:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 27/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [16:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [16:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [16:00:00 27/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [16:00:00 27/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [16:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [16:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 27/06/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 27/06/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: Q24H fs: 18 dn: 1 m1: Fluconazole v1: 400 u1: mg
t0: [17:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [17:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [17:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [17:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [17:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [18:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [18:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [18:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [19:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [19:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [19:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [20:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [20:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [20:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [20:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [20:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [21:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [21:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 27/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 27/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 27/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 27/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [21:00:00 27/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [21:00:00 27/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 27/06/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 27/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [21:00:00 27/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [21:00:00 27/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [21:00:00 27/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 27/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [21:00:00 27/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 27/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 27/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [21:00:00 27/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 27/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 27/06/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 27/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [21:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 27/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [21:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [21:00:00 27/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 27/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 27/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 27/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 27/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 27/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [21:00:00 27/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [21:00:00 27/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 27/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [21:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 27/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
tf: [07:00:00 28/06/2015] pt: Unit Dose rt: PO fr: BID fs: 08, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 250 u1: mg
t0: [23:00:00 27/06/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 140 rs: Manual st: NotStopd
t0: [22:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [22:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [22:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 27/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [23:00:00 27/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 27/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 27/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 27/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 27/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 27/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [23:00:00 27/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [23:00:00 27/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 27/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 27/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/06/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 28/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [00:00:00 28/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/06/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 28/06/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 28/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/06/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 28/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/06/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/06/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 28/06/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 28/06/2015] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 28/06/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 28/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 28/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 18 st: NotStopd t0: [00:00:00 28/06/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/06/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 28/06/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/06/2015] id: Activity el: 0 cu: CCU cg: RN v1: Chair st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN v1: Serous v2: Large st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 28/06/2015] id: Incision/Wound #1 el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 28/06/2015] id: Incision/Wound #2 el: 0 cu: CCU cg: RN v1: Right Lower Quad st: NotStopd t0: [00:00:00 28/06/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/06/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/06/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 28/06/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/06/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/06/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/06/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 28/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 28/06/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 28/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 28/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [00:00:00 28/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [00:00:00 28/06/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/06/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/06/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 28/06/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/06/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 28/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 28/06/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [00:00:00 28/06/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/06/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 28/06/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 28/06/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 28/06/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/06/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 28/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/06/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [23:00:00 27/06/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 360 ap: none
t0: [22:00:00 27/06/2015] id: Drain Out #1 Other el: 1 cu: CCU cg: RN vo: 600 vu: ml
t0: [23:00:00 27/06/2015] dt: 24 id: Drain #1 Total Out el: 1 cu: CCU cg: RN cv: 1330 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: CoWker cv: 380 ap: none
t0: [21:00:00 27/06/2015] id: Inc Cleansing #2 el: 0 cu: CCU cg: RN st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Closure/Appear#1 el: 0 cu: CCU cg: RN st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Closure/Appear#2 el: 0 cu: CCU cg: RN st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Drainage/Amt #1 el: 0 cu: CCU cg: RN st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Drainage/Amt #2 el: 0 cu: CCU cg: RN st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Dsg/Status #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 27/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 27/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Confused st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Cleansing #1 el: 0 cu: CCU cg: RN v1: Normal Saline st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Cleansing #2 el: 0 cu: CCU cg: RN v1: Normal Saline st: NotStopd t0: [00:00:00 28/06/2015] id: Inc Dsg/Status #2 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSore Depth #1 el: 0 cu: CCU cg: RN v1: 0.5 cm st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSore Drng/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSore Wth/Lth #1 el: 0 cu: CCU cg: RN v1: 2 cm v2: 2 cm st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSoreCleansing#1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: PressSoreWoundBase#1 el: 0 cu: CCU cg: RN v1: Red st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: Pressure Sore Odor#1 el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [00:00:00 28/06/2015] tf: [03:45:00 28/06/2015] dt: 225 id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 28/06/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Confused st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 28/06/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 28/06/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 28/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [01:00:00 28/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 28/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 28/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 28/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 28/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 28/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [01:00:00 28/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [01:00:00 28/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 28/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 28/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/06/2015] id: Drain Out #1 Other el: 1 cu: CCU cg: RN vo: 250 vu: ml
t0: [23:00:00 28/06/2015] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: CoWker cv: 0 ap: none t0: [23:00:00 28/06/2015] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: CoWker cv: 0 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: 24h Total In el: 1 cu: -1 cg: CoWker cv: 330 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: Tube Feeds In Total el: 1 cu: -1 cg: CoWker cv: 330 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: CoWker cv: -410 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: CoWker cv: 740 ap: none t0: [23:00:00 28/06/2015] dt: 24 id: Drain #1 Total Out el: 1 cu: -1 cg: CoWker cv: 360 ap: none t0: [23:00:00 28/06/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: CoWker cv: 5674.86 ap: carryForward
t0: [02:00:00 28/06/2015] id: Service Type el: 0 cu: CCU cg: RN v1: NSICU st: NotStopd t0: [02:00:00 28/06/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/06/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/06/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 28/06/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 28/06/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 28/06/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/06/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 28/06/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 28/06/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/06/2015] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 76.5 u1: kg st: NotStopd t0: [02:00:00 28/06/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 28/06/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 28/06/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/06/2015] id: Drain Out #1 Other el: 1 cu: CCU cg: CoWker vo: 110 vu: ml
tf: [07:00:00 29/06/2015] pt: Unit Dose rt: PO fr: BID fs: 08, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 200 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [18:00:00 29/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: NS v2: 250 u2: ml
tf: [08:00:00 29/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 200 u1: mg tf: [19:00:00 29/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 250 u1: mg tf: [19:00:00 29/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [19:00:00 29/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
tf: [18:00:00 30/06/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 250 u1: mg
tf: [17:00:00 30/06/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 20 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [11:00:00 05/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 20 u1: mg tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Fludrocortisone Acetate v1: 0.1 u1: mg
tf: [18:00:00 01/07/2015] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg
tf: [19:00:00 01/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 250 u1: mg
tf: [14:00:00 02/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
tf: [19:00:00 02/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 200 u1: mg tf: [19:00:00 02/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 250 u1: mg tf: [19:00:00 02/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Famotidine v1: 20 u1: mg tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Mycophenolate Mofetil v1: 1000 u1: mg
tf: [19:00:00 03/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 200 u1: mg
tf: [07:00:00 05/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [07:00:00 05/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [17:00:00 05/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [17:00:00 05/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [09:00:00 08/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg tf: [17:00:00 13/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 15 u1: mg
tf: [18:00:00 06/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 19, 7 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [18:00:00 06/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 19, 7 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [10:00:00 13/07/2015] pt: Unit Dose rt: PO fr: Q24H fs: 11 dn: 1 m1: Levofloxacin v1: 500 u1: mg
tf: [19:00:00 07/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [19:00:00 07/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [19:00:00 08/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [19:00:00 08/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [09:00:00 09/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Furosemide v1: 10 u1: mg
tf: [18:00:00 09/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [18:00:00 09/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 4 u1: UNIT
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [18:00:00 10/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [18:00:00 10/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 4 u1: UNIT
tf: [18:00:00 11/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [18:00:00 11/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [10:00:00 12/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg tf: [10:00:00 12/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 50 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl v1: 10 u1: mg
tf: [17:00:00 13/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg
tf: [07:00:00 14/07/2015] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Magnesium Oxide v1: 400 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 12.5 u1: mg
tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: MR X1 fs: 13 m1: Ondansetron v1: 2 u1: mg tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: MR X1 fs: 13 m1: Ondansetron v1: 2 u1: mg tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: PRN PAIN Q5MIN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: PRN PAIN Q5MIN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: X1 PRN m1: Meperidine v1: 12.5-25 u1: mg tf: [19:00:00 14/07/2015] pt: Unit Dose rt: IV fr: X1 PRN m1: Meperidine v1: 12.5-25 u1: mg
tf: [19:00:00 14/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sulfameth/Trimethoprim SS v1: 1 u1: TAB
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: Q24H fs: 13 dn: 1 m1: Levofloxacin v1: 500 u1: mg
tf: [21:00:00 15/07/2015] pt: Unit Dose rt: PO fr: Q12H fs: 20, 8 dn: 2 m1: Cyclosporine Modified (Neoral) v1: 100 u1: mg
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 2967 ds: 3 ld: BIPLOAR I DISORDER, MOST dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: E8780 ds: 2 ld: ABN REACT-ORG TRANSPLANT dd: V113 ds: 4 ld: HX OF ALCOHOLISM
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 25000 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 2967 ds: 3 ld: BIPLOAR I DISORDER, MOST dd: 7806 ds: 3 ld: FEVER dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: E8780 ds: 2 ld: ABN REACT-ORG TRANSPLANT
dd: 2967 ds: 3 ld: BIPLOAR I DISORDER, MOST dd: 53081 ds: 4 ld: ESOPHAGEAL REFLUX dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: E8780 ds: 2 ld: ABN REACT-ORG TRANSPLANT
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 55321 ds: 1 ld: INCISIONAL HERNIA dd: V427 ds: 3 ld: LIVER TRANSPLANT STATUS
dd: 44489 ds: 3 ld: ARTERIAL EMBOLISM NEC dd: 5119 ds: 4 ld: PLEURAL EFFUSION NOS dd: 51881 ds: 8 ld: RESPIRATORY FAILURE dd: 5772 ds: 6 ld: PANCREAT CYST/PSEUDOCYST dd: 5990 ds: 7 ld: URIN TRACT INFECTION NOS dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: 9971 ds: 9 ld: SURG COMPL-HEART dd: 9974 ds: 2 ld: DIGEST SYSTEM COMPLIC dd: 9986 ds: 5 ld: PERSIST POSTOP FISTULA
dd: 0388 ds: 4 ld: SEPTICEMIA NEC dd: 07051 ds: 2 ld: ACUTE HEPATITIS C W/OUT dd: 2762 ds: 8 ld: ACIDOSIS dd: 2875 ds: 6 ld: THROMBOCYTOPENIA NOS dd: 30390 ds: 3 ld: ALCOH DEP NEC/NOS-UNSPEC dd: 5119 ds: 7 ld: PLEURAL EFFUSION NOS dd: 51881 ds: 9 ld: RESPIRATORY FAILURE dd: 5761 ds: 5 ld: CHOLANGITIS dd: 7806 ds: 1 ld: FEVER dd: 78909 ds: 2 ld: ABDOMIN PAIN OTHR SPEC S dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: V427 ds: 3 ld: LIVER TRANSPLANT STATUS
dd: 07054 ds: 4 ld: CHR HEPAT C W/O HEP COMA dd: 0785 ds: 8 ld: CYTOMEGALOVIRAL DISEASE dd: 262 ds: 3 ld: OTH SEVERE MALNUTRITION dd: 2967 ds: 7 ld: BIPLOAR I DISORDER, MOST dd: 53081 ds: 6 ld: ESOPHAGEAL REFLUX dd: 5712 ds: 3 ld: ALCOHOL CIRRHOSIS LIVER dd: 78322 ds: 1 ld: UNDERWEIGHT dd: 7907 ds: 5 ld: BACTEREMIA dd: 99662 ds: 1 ld: INFECT DUE TO VASCULAR G dd: 99682 ds: 2 ld: COMPLIC LIVER TRANSPLANT dd: E8780 ds: 9 ld: ABN REACT-ORG TRANSPLANT dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS
dd: 07051 ds: 2 ld: ACUTE HEPATITIS C W/OUT dd: 2767 ds: 3 ld: HYPERPOTASSEMIA dd: 42731 ds: 8 ld: ATRIAL FIBRILLATION dd: 5770 ds: 4 ld: ACUTE PANCREATITIS dd: 7907 ds: 7 ld: BACTEREMIA dd: 7948 ds: 1 ld: ABN LIVER FUNCTION STUDY dd: 7994 ds: 6 ld: CACHEXIA dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: 9971 ds: 9 ld: SURG COMPL-HEART dd: 99859 ds: 5 ld: OTHER POSTOP INFECTION dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS
dd: 262 ds: 1 ld: OTH SEVERE MALNUTRITION dd: 29633 ds: 3 ld: RECUR DEPR PSYCH-SEVERE dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE dd: 99659 ds: 2 ld: MALFUNC OTHER DEVICE/GRA dd: V551 ds: 3 ld: ATTEN TO GASTROSTOMY
dd: 262 ds: 1 ld: OTH SEVERE MALNUTRITION dd: 29633 ds: 3 ld: RECUR DEPR PSYCH-SEVERE dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE dd: 5733 ds: 2 ld: HEPATITIS NOS
dd: 262 ds: 1 ld: OTH SEVERE MALNUTRITION dd: 29633 ds: 3 ld: RECUR DEPR PSYCH-SEVERE dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS
dd: 5718 ds: 3 ld: CHRONIC LIVER DIS NEC dd: 7948 ds: 4 ld: ABN LIVER FUNCTION STUDY dd: V427 ds: 2 ld: LIVER TRANSPLANT STATUS dd: V7284 ds: 1 ld: PRE-OP EXAM, UNSPECIFIED
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 07051 ds: 2 ld: ACUTE HEPATITIS C W/OUT dd: 25000 ds: 6 ld: DIABETES MELLITUS W/OUT dd: 29630 ds: 4 ld: RECURR DEPR PSYCHOS-UNSP dd: 2967 ds: 5 ld: BIPLOAR I DISORDER, MOST dd: 53081 ds: 7 ld: ESOPHAGEAL REFLUX dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: E8780 ds: 3 ld: ABN REACT-ORG TRANSPLANT
dd: 29633 ds: 1 ld: RECUR DEPR PSYCH-SEVERE
dd: 53642 ds: 2 ld: MECH COMPL OF GASTROSTOM dd: 6822 ds: 1 ld: CELLULITIS OF TRUNK
dd: 0389 ds: 6 ld: SEPTICEMIA NOS dd: 25001 ds: 8 ld: DIABETES MELLITUS W/OUT dd: 2765 ds: 4 ld: HYPOVOLEMIA dd: 2888 ds: 4 ld: WBC DISEASE NEC dd: 51881 ds: 9 ld: RESPIRATORY FAILURE dd: 5720 ds: 2 ld: ABSCESS OF LIVER dd: 5770 ds: 3 ld: ACUTE PANCREATITIS dd: 5772 ds: 5 ld: PANCREAT CYST/PSEUDOCYST dd: 7806 ds: 2 ld: FEVER dd: 78079 ds: 3 ld: OTHER MALAISE & FATIGUE dd: 78900 ds: 1 ld: ABDOMIN PAIN UNSPEC SITE dd: 99591 ds: 7 ld: SYST INFLAM RESPN WO/ORG dd: 99682 ds: 1 ld: COMPLIC LIVER TRANSPLANT dd: V427 ds: 5 ld: LIVER TRANSPLANT STATUS